Paul Edward Craft, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

100070 Issued in NC

Practice address

604 W Main St
Jamestown, NC 27282-9515

Phone

(336) 802-2015

Fax

(336) 802-2016

NPI assigned

Jul 4, 2006

Sex

Male

Sole proprietor

No

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

• Cornerstone Health Care PA

  • Cardiovascular Disease Physician
  • Statesville, NC
  • NPI 1275914046
  NPD (past)
• Wake Forest Health Network, LLC

  • Clinical Medical Laboratory
  • High Point, NC
  • NPI 1063453553
  NPD (past)

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Nov 12, 2014.

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415750400000",
    "number": "1376573535",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 W MAIN ST",
            "city": "JAMESTOWN",
            "state": "NC",
            "postal_code": "272829515",
            "telephone_number": "336-802-2015",
            "fax_number": "336-802-2016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CRAFT",
        "first_name": "PAUL",
        "middle_name": "EDWARD",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2014-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "100070",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "970015100",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erica Rose Liss Conklin
• Maria Isaac Cook, LCSWA
• Amy Elizabeth Cooke, OTR/L
• Jennifer Ashley Corder, PHARMD
• Cornerstone Health Care LLC
• Creative Home Care Solutions, Inc.
• Crystal Clear Speech and Language Services
• Crystal Clear Strategies PLLC
• Annia Cuebas-Colon, LCSW-A
• CVS

• All providers in Jamestown, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.