Individual provider Active NPI

Paul Howell Justice, FNP

  • Family Nurse Practitioner
  • Asheville, NC
National Provider Identifier
1376506030
Registry record updated Jun 30, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201708 Issued in NC
Practice address
10 McDowell St
Asheville, NC 28801-4104
Phone
(828) 258-8545
Fax
(828) 254-0714
NPI assigned
Apr 11, 2006
Last updated
Jun 30, 2010By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 30, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 201708 NC Primary

Addresses

Primary practice location

10 McDowell St
Asheville, NC 28801-4104

Mailing address

10 McDowell St
Asheville, NC 28801-4104
Phone (828) 258-8545

Other identifiers 1

IdentifierTypeStateIssuer
7003652MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
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 1

Enrollment IDStateProvider typePAC IDDetails
I20040609001069 NC Practitioner - Nurse Practitioner 1456334671 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Kidney and Hypertension Associates PAGroup PAC ID 0244213502, 18 clinicians

Practice addresses (Care Compare)

10 McDowell St
Asheville, NC 28801-4104
Phone (828) 258-8545

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
201708NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Mountain Kidney & Hypertension Associates, P.a. CurrentSince Dec 30, 2002 Accepting new patients

Locations

10 McDowell St
Asheville, NC 28801

10 McDowell St
#110
Asheville, NC 28801
Phone (828) 255-2839

1600 Centrepark Dr
Asheville, NC 28805
Phone (828) 251-1224

840 Fleming St
Ste 6
Hendersonville, NC 28791
Phone (252) 258-1586

93 Family Church Rd
Murphy, NC 28906

141 Tryon Rd
Ste B
Rutherfordton, NC 28139
Phone (704) 286-1445

655 Asheville Hwy
Sylva, NC 28779
Phone (828) 586-3340

Interoperability endpoints

  • Direct secure messaging: paul.justice@mkha.eclinicaldirectplus.com

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1144713600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1277856000000",
    "number": "1376506030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014104",
            "telephone_number": "828-258-8545",
            "fax_number": "828-254-0714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 MCDOWELL ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014104",
            "telephone_number": "828-258-8545",
            "fax_number": "828-254-0714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUSTICE",
        "first_name": "PAUL",
        "middle_name": "HOWELL",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-11",
        "last_updated": "2010-06-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201708",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7003652",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.