Individual provider Active NPI

Teresa Ann Dickson, PA-C

  • Physician Assistant
  • Burlington, NC
National Provider Identifier
1386473767
Registry record updated May 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14401 Issued in NC
Practice address
2501 S Mebane St
Burlington, NC 27215-6235
Phone
(336) 228-7337
NPI assigned
Aug 1, 2024
Last updated
May 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 1, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0110011729 VA
Physician Assistant 363A00000X 0010-14401 NC Primary

Addresses

Primary practice location

2501 S Mebane St
Burlington, NC 27215-6235

Mailing address

803 W Davis St
Burlington, NC 27215-3632
Phone (336) 709-0173

Other practice location 1

4095 Battleground Ave
Greensboro, NC 27410-8410
Phone (336) 763-9292

Other practice location 2

1181 First Colonial Rd Ste 100
Virginia Beach, VA 23454-2437
Phone (757) 668-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-14401NCMDPhysician Assistant
0110011729VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Kidzcare Pediatrics, PC PastSince Nov 6, 2022 Accepting new patients
Kidzcare Pediatrics, PC PastSince Aug 4, 2024 Accepting new patients
Kidzcare Pediatrics, PC PastSince Aug 4, 2024 Accepting new patients

Organizations & group practices 3

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

NPI Registry JSON

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

{
    "created_epoch": "1722470400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777593600000",
    "number": "1386473767",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 W DAVIS ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272153632",
            "telephone_number": "336-709-0173"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2501 S MEBANE ST",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272156235",
            "telephone_number": "336-228-7337"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4095 Battleground Ave",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274108410",
            "country_code": "US",
            "telephone_number": "336-763-9292",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1181 First Colonial Rd Ste 100",
            "address_purpose": "LOCATION",
            "city": "Virginia Beach",
            "state": "VA",
            "postal_code": "234542437",
            "country_code": "US",
            "telephone_number": "757-668-4600",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DICKSON",
        "first_name": "TERESA",
        "middle_name": "ANN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-01",
        "last_updated": "2026-05-01",
        "certification_date": "2026-05-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110011729",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 1, 2026; 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.