Jenna Lee Enoch, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-01522 Issued in NC

Practice address

110 Division St
Norlina, NC 27563-9041

Phone

(252) 456-2009

Fax

(252) 456-2889

NPI assigned

Sep 19, 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 WV

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

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jenna.enoch@rhgnc.eclinicaldirectplus.com

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.

• Morgantown Plastic Surgery Associates

  • Plastic Surgery Physician
  • Morgantown, WV
  • NPI 1548446099
  Medicare reassignment

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

{
    "created_epoch": "1221782400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1265068800000",
    "number": "1376793935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 640",
            "city": "ROANOKE RAPIDS",
            "state": "NC",
            "postal_code": "278700640",
            "telephone_number": "252-536-5791",
            "fax_number": "252-536-5444"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "110 DIVISION ST",
            "city": "NORLINA",
            "state": "NC",
            "postal_code": "275639041",
            "telephone_number": "252-456-2009",
            "fax_number": "252-456-2889"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENOCH",
        "first_name": "JENNA",
        "middle_name": "LEE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-09-19",
        "last_updated": "2010-02-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-01522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bynum'S Place LLC
• Bynum'S Place, LLC
• Comfort Healthcare Inc
• Comfort Healthcare Services, Inc.
• Tracy N Davis, RBT
• Freedom House Recovery Center
• Gavin & Downey Heavenly Living Home #3
• Gavin & Downey Heavenly Living Home 1
• Gavin & Downey Heavenly Living Home II
• Guardian Angel Healthcare, LLC

• Medical Physician Assistant in Norlina, NC
• Providers in Norlina, 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 Feb 2, 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.