Individual provider Active NPI

Brittany Myers Habershaw, PA-C

  • Physician Assistant
  • North Wilkesboro, NC
National Provider Identifier
1396901633
Registry record updated Oct 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02756 Issued in NC
Practice address
1370 W D St
North Wilkesboro, NC 28659-3506
Phone
(336) 651-8100
NPI assigned
Aug 6, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 423 WV
Physician Assistant 363A00000X 0010-02756 NC Primary

Addresses

Primary practice location

1370 W D St
North Wilkesboro, NC 28659-3506

Mailing address

1200 N Elm St
Select Specialty Hospital 5TH Floor
Greensboro, NC 27401-1004
Phone (336) 832-5756

Other practice location 1

218 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 838-7457

Other practice location 2

1200 N Elm St
Select Specialty Hospital 5th floor
Greensboro, NC 27401-1004
Phone (336) 832-5756

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
I20110329000047 NC Practitioner - Physician Assistant 1153504188 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Wake Forest University Health SciencesGroup PAC ID 4486564952, 2,633 clinicians

Practice addresses (Care Compare)

1370 W D St
North Wilkesboro, NC 28659-3506
Phone (336) 651-8760

1917 W Park Drivce
N Wilkesboro, NC 28659-3506
Phone (336) 667-3762

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

  • Wilkes Regional Medical Center Hospital, North Wilkesboro, NC, CCN 340064

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
423WVMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Select Specialty Hospital - Greensboro Inc Current Accepting new patients
Wake Forest University Health Sciences CurrentSince Dec 1, 2016 Accepting new patients
Hospitalist Medicine Physicians of Durham County, PLLC Past Accepting new patients
Ara Health Specialists PA Past Accepting new patients
Hospitalist Medicine Physicians of Forsyth County, PLLC Past Accepting new patients
Hospitalist Medicine Physicians of Buncombe County, PLLC PastSince Sep 1, 2012 Accepting new patients

Locations

1200 N Elm St
Fl 5
Greensboro, NC 27401
Phone (336) 832-5700

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

218 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 838-7461

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Interoperability endpoints

  • Direct secure messaging: bhabershaw2755255@carolinashealthcaresystem.direct-ci.com

Organizations & group practices 8

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 1

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": "1217980800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1396901633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 N ELM ST",
            "address_2": "SELECT SPECIALTY HOSPITAL 5TH FLOOR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011004",
            "telephone_number": "336-832-5756",
            "fax_number": "336-832-5750"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1370 W D ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286593506",
            "telephone_number": "336-651-8100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "218 Old Mocksville Rd",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286251930",
            "country_code": "US",
            "telephone_number": "704-838-7457",
            "fax_number": "704-838-7435",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1200 N Elm St",
            "address_2": "Select Specialty Hospital 5th floor",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011004",
            "country_code": "US",
            "telephone_number": "336-832-5756",
            "fax_number": "336-832-5750",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HABERSHAW",
        "first_name": "BRITTANY",
        "middle_name": "MYERS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-06",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "WV",
            "license": "423",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02756",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Wilkesboro, NC

Sources for this page

Verify at the official NPI Registry.