Individual provider Active NPI

Amy Durham Ransom, PA

  • Physician Assistant
  • Whiteville, NC
National Provider Identifier
1376632745
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101606 Issued in NC
Practice address
604 N Madison St
Whiteville, NC 28472-3310
Phone
(910) 640-8660
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 101606 NC Primary

Addresses

Primary practice location

604 N Madison St
Whiteville, NC 28472-3310

Mailing address

PO Box 19305
Charlotte, NC 28219-9305

Other practice location 1

619 Jefferson St
Whiteville, NC 28472-3707
Phone (910) 642-0331

Other practice location 2

36 McNeill Plz
Whiteville, NC 28472-8602
Phone (910) 641-8660

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network
Direct Messaging Address aransom170350@CarolinasHealthcareSystem.direct-ci.com Columbus Regional Healthcare System, Inc.

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
I20090331000320 NC Practitioner - Physician Assistant 1850458167 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Columbus Regional Health NetworkGroup PAC ID 6608924931, 48 clinicians

Practice addresses (Care Compare)

36 McNeill PLZ
Whiteville, NC 28472-8602
Phone (910) 641-8660

612 Jefferson St
Suite 28
Whiteville, NC 28472-3708
Phone (910) 640-4064

Hospital & facility affiliations

  • Liberty Home Care Home health agency, Whiteville, NC, CCN 347248
  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Columbus Regional Healthcare System Hospital, Whiteville, NC, CCN 340068
  • Southeastern Regional Medical Center Hospital, Lumberton, NC, CCN 340050

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101606NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Jan 1, 2010 Accepting new patients
Columbus Regional Health Network CurrentSince Jul 25, 2023 Accepting new patients
Southeastern Regional Physician Services Current Accepting new patients
Columbus Regional Health Network CurrentSince Jul 25, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Jan 1, 2010 Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Bladen Medical Associates Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients
Southeastern Regional Medical Center Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

2600 N Elm St
Lumberton, NC 28358
Phone (910) 671-5290

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

300 W 27th St
Lumberton, NC 28358
Phone (910) 671-5000

604 N Madison St
Whiteville, NC 28472
Phone (910) 640-8660

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

117 E Main St
Whiteville, NC 28472
Phone (910) 207-6440

Interoperability endpoints

  • Direct secure messaging: aransom170350@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721001600000",
    "number": "1376632745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 19305",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282199305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 N MADISON ST",
            "city": "WHITEVILLE",
            "state": "NC",
            "postal_code": "284723310",
            "telephone_number": "910-640-8660"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "619 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723707",
            "country_code": "US",
            "telephone_number": "910-642-0331",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 McNeill Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284728602",
            "country_code": "US",
            "telephone_number": "910-641-8660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "RANSOM",
        "first_name": "AMY",
        "middle_name": "DURHAM",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2024-07-15",
        "certification_date": "2020-11-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101606",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "aransom170350@CarolinasHealthcareSystem.direct-ci.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "604 N Madison St",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723310",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Whiteville, NC

Sources for this page

Verify at the official NPI Registry.