NPIMap

Individual provider Active NPI

Brenda A Scronce, PA-C

  • Physician Assistant
  • Shallotte, NC
National Provider Identifier
1346784949
Registry record updated Feb 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104221 Issued in NC
Practice address
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone
(910) 754-4441
Fax
(910) 754-5307
NPI assigned
Dec 15, 2016
Last updated
Feb 3, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 6462 MA
Physician Assistant 363A00000X 1227 NH
Physician Assistant 363A00000X 3623 SC
Physician Assistant 363A00000X 104221 NC Primary

Addresses

Primary practice location

5145 Sellers Rd
Shallotte, NC 28470-3405

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

70 Stamp Act Dr
Bolivia, NC 28422-8320
Phone (910) 253-2765

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200910000469 NC Practitioner - Physician Assistant 8426318452 Reassigns benefits to 8 organizations
I20220210002496 SC Practitioner - Physician Assistant 8426318452 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Quickcare Family Practice, PLLCGroup PAC ID 0840682340, 107 clinicians
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians
Med First Immediate Care and Family Practice PAGroup PAC ID 0446332720, 94 clinicians

Practice addresses (Care Compare)

2265 NC Hwy 24 27 E
Biscoe, NC 27209-9758
Phone (919) 828-1131

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5130 Southport Supply Rd SE
Unit 101 1
Southport, NC 28461-9261
Phone (910) 269-2053

5145 Sellers Rd
Shallotte, NC 28470-3405

609 Richlands Hwy 6
Jacksonville, NC 28540-3606
Phone (910) 455-7888

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1227NHMDAddiction (Substance Use Disorder) Counselor
3623SCMDChiropractor
6462MAMDPhysician Assistant
104221NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Medical Group, Inc. CurrentSince Feb 1, 2023 Accepting new patients
Medac Health Services, PA CurrentSince Sep 2, 2021 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Oct 29, 2023 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 14, 2022 Accepting new patients
Medcare Express - North Charleston LLC CurrentSince Dec 14, 2021 Accepting new patients
J. Arthur Dosher Memorial Hospital CurrentSince Aug 28, 2025 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jan 14, 2022 Accepting new patients
J Arthur Dosher Memorial Hospital CurrentSince Oct 29, 2023 Accepting new patients
Clearchoicemd Primary Care PLLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

821 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

8115 Market St
Ste 100
Wilmington, NC 28411
Phone (910) 256-6088

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

8720 Dorchester Rd
North Charleston, SC 29420
Phone (843) 552-3629

Interoperability endpoints

  • Direct secure messaging: brenda.scronce.1@1905.direct.athenahealth.com
  • Direct secure messaging: bscronce1028378@direct.novanthealth.org

Organizations & group practices 16

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 16

Hospital & facility affiliations 6

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1481760000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643846400000",
    "number": "1346784949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5145 SELLERS RD",
            "city": "SHALLOTTE",
            "state": "NC",
            "postal_code": "284703405",
            "telephone_number": "910-754-4441",
            "fax_number": "910-754-5307"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "70 Stamp Act Dr",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284228320",
            "country_code": "US",
            "telephone_number": "910-253-2765",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SCRONCE",
        "first_name": "BRENDA",
        "middle_name": "A",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-15",
        "last_updated": "2022-02-03",
        "certification_date": "2022-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "6462",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NH",
            "license": "1227",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "3623",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104221",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shallotte, NC

Sources for this page

Verify at the official NPI Registry.