Justin Pearce-Jordan Loucks, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05521 Issued in NC

Practice address

3332 Bridges St Ste B
Morehead City, NC 28557-3296

Phone

(252) 633-4461

NPI assigned

Jan 20, 2015

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Specialty

Physician Assistant

Education

Brody School of Medicine at East Carolina University, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Dermatology Associates of Coastal Carolina PAGroup PAC ID 1658375092, 14 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Carteret General Hospital Hospital, Morehead City, NC, CCN 340142

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Quality

100

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Dermatology Associates of Coastal Carolina, PA

  • Dermatopathology Physician
  • New Bern, NC
  • NPI 1619903176
  Medicare reassignment Care Compare group NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Carteret County General Hospital Corporation

  • General Acute Care Hospital
  • Morehead City, NC
  • NPI 1760479331
  Care Compare affiliation

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

{
    "created_epoch": "1421712000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1643068800000",
    "number": "1376932038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 890293",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282890293",
            "telephone_number": "866-429-1213"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3332 BRIDGES ST STE B",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573296",
            "telephone_number": "252-633-4461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LOUCKS",
        "first_name": "JUSTIN",
        "middle_name": "PEARCE-JORDAN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-20",
        "last_updated": "2022-01-25",
        "certification_date": "2022-01-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE",
            "identifier": "0010-05521",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kendra Lewis Long
• Sarah Dearstyne Long, LCAS LCSW-A
• Ana Mercedes Lopez, PHD PSYD
• John Vito Lopiccolo, D.P.M.
• Susan Lorencz, FNP
• James Thomas Loynes, MD
• Maribeth P Loynes, M.D.
• LTS Counseling, PLLC
• Kathryn J Lucas, MD
• Hope Jackson Lupton, RPH

• Physician Assistant in Morehead City, NC
• Providers in Morehead City, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 25, 2022; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.