Aimee Shaye Polk, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-01307 Issued in NC

Practice address

5212 N College Rd
Unit B
Castle Hayne, NC 28429-6016

Phone

(910) 675-0333

Fax

(910) 675-0833

NPI assigned

Mar 26, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Medicare enrollment (NPD)

Enrolled

Practice roles

Interoperability endpoints

• Direct secure messaging: aimeepolk@rcmg.allscriptsdirect.net

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.

• Raleigh Adult Medicine PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1902840762
  NPD (past)
• William J Mattox MD PA

  • Family Medicine Physician
  • Hampstead, NC
  • NPI 1114116662
  NPD (past)

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

{
    "created_epoch": "1206489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1274745600000",
    "number": "1376715763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5212 N COLLEGE RD",
            "address_2": "UNIT B",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296016",
            "telephone_number": "910-675-0333",
            "fax_number": "910-675-0833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5212 N COLLEGE RD",
            "address_2": "UNIT B",
            "city": "CASTLE HAYNE",
            "state": "NC",
            "postal_code": "284296016",
            "telephone_number": "910-675-0333",
            "fax_number": "910-675-0833"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLK",
        "first_name": "AIMEE",
        "middle_name": "SHAYE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-26",
        "last_updated": "2010-05-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01307",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Marc'S Manor LLC
• North Carolina CVS Pharmacy LLC
• One Home Medical Equipment NC, LLC
• Jennifer R. Ordonez, LCSW
• Tracy Kay Plumley, MA,CCC/SLP
• Rainbow Occupational Therapy, PLLC
• Carolyn Ramsay, LCMHC
• Rehab Joint Inc
• Solis Collaborative LLC
• Makenna Jane Staggers

• Medical Physician Assistant in Castle Hayne, NC
• Providers in Castle Hayne, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.