Individual provider Active NPI

Ann Rebecca Bartholomew, PA

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1356471767
Registry record updated Nov 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10190 Issued in NC
Practice address
237 White St Ste 1
Jacksonville, NC 28546-6351
Phone
(910) 577-4968
Fax
(910) 577-2916
NPI assigned
Mar 6, 2007
Last updated
Nov 6, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2024

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

Specialties & licenses 7

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3830 MA
Physician Assistant 363A00000X 003302 OH
Physician Assistant 363A00000X PA2016-0047 NM
Physician Assistant 363A00000X 0110-004577 VA
Physician Assistant 363A00000X PA05207 TX
Physician Assistant 363A00000X 11181292-1206 UT
Physician Assistant 363A00000X 0010-10190 NC Primary

Addresses

Primary practice location

237 White St Ste 1
Jacksonville, NC 28546-6351

Mailing address

160 Iris Way
Hampstead, NC 28443-3885
Phone (404) 667-8370

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20150616002603 VA Practitioner - Physician Assistant 5698815058 Reassigns benefits to 1 organization
I20210915003996 NC Practitioner - Physician Assistant 5698815058 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Onslow Ambulatory Services IncGroup PAC ID 4587569256, 18 clinicians

Practice addresses (Care Compare)

237 White St
Suite 1
Jacksonville, NC 28546-6351
Phone (910) 577-4968

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.53 of 100Reported as group
Quality
90.05
Promoting interoperability
100
Improvement activities
40
Cost
75.04

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10190NCMDPhysician Assistant
PA2016-0047NMMDPhysician Assistant
003302OHMDPhysician Assistant
PA05207TXMDPhysician Assistant
11181292-1206UTMDPhysician Assistant
0110-004577VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Onslow Ambulatory Services, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Onslow Ambulatory Services, Inc CurrentSince Nov 10, 2024 Accepting new patients
Onslow Ambulatory Services, Inc. Past Accepting new patients
Inova Health Care Services - Pathology Past Accepting new patients
Glacier Peak Pain Care PLLC Past Accepting new patients
Carient Heart & Vascular, LLC Past Accepting new patients
Stony Brook Primary Care LLC Past Accepting new patients
Lowell Surgical Associates, P.C. PastSince Aug 14, 2006 Accepting new patients

Locations

237 White St
#1
Jacksonville, NC 28546
Phone (910) 577-4968

237 White St
Ste 1
Jacksonville, NC 28546
Phone (910) 577-4968

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/1850/brand/1/csg/1/fhir/r4
  • FHIR API: https://api.platform.athenahealth.com/20932/brand/1/csg/1/fhir/r4
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

Organizations & group practices 10

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.

Hospital & facility affiliations 1

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": "1173139200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730851200000",
    "number": "1356471767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 IRIS WAY",
            "city": "HAMPSTEAD",
            "state": "NC",
            "postal_code": "284433885",
            "telephone_number": "404-667-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "237 WHITE ST STE 1",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466351",
            "telephone_number": "910-577-4968",
            "fax_number": "910-577-2916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARTHOLOMEW",
        "first_name": "ANN",
        "middle_name": "REBECCA",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-06",
        "last_updated": "2024-11-06",
        "certification_date": "2024-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "MA",
            "license": "PA3830",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "003302",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NM",
            "license": "PA2016-0047",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-004577",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TX",
            "license": "PA05207",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "UT",
            "license": "11181292-1206",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10190",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.