Active NPI
Brittany Myers Habershaw, PA-C
- Physician Assistant
- North Wilkesboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-02756
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 423 | WV | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Select Specialty Hospital - Greensboro Inc | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Current | 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 | Past | 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
- 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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1164724902
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1912205113
-
- Long Term Care Hospital
- Greensboro, NC
- NPI 1730346784
-
- Diagnostic Radiology Physician
- Asheville, NC
- NPI 1164474094
-
- Internal Medicine Physician
- Asheville, NC
- NPI 1073804266
-
- Internal Medicine Physician
- Durham, NC
- NPI 1316098700
-
- Internal Medicine Physician
- Winston Salem, NC
- NPI 1962553354
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- North Wilkesboro, NC
- NPI 1881614071
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.