John David Riser, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

101024 Issued in NC

Practice address

4692 Brownsboro Rd
Winston Salem, NC 27106

Phone

(336) 251-1114

Fax

(336) 251-1117

NPI assigned

Apr 23, 2007

Last updated

Aug 29, 2022By the provider in NPPES

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Physicians Eldercare PA

  • General Practice Physician
  • Durham, NC
  • NPI 1023083268
  Medicare reassignment
• Avery Wellness PLLC

  dba Avery Wellness

  • Family Nurse Practitioner
  • Newland, NC
  • NPI 1831928803
  NPD (past)
• Carolina Mountain Emergency Medicine PA

  • Emergency Medicine Physician
  • Marion, NC
  • NPI 1427374578
  NPD (past)
• Clark Family Medicine PA

  • Family Medicine Physician
  • Newland, NC
  • NPI 1306845573
  NPD (past)
• McDowell Community Health Services

  • Primary Care Clinic/Center
  • Old Fort, NC
  • NPI 1770583148
  NPD (past)
• McDowell Emergency Physicians LLC

  • Emergency Medicine Physician
  • Marion, NC
  • NPI 1144429788
  NPD (past)
• McDowell Hospital

  dba Sugar Hill Primary Care

  • Family Medicine Physician
  • Marion, NC
  • NPI 1134437734
  NPD (past)

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

{
    "created_epoch": "1177286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1396963310",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4692 BROWNSBORO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271063410",
            "telephone_number": "336-251-1114",
            "fax_number": "336-251-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4692 BROWNSBORO RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "27106",
            "telephone_number": "336-251-1114",
            "fax_number": "336-251-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RISER",
        "first_name": "JOHN",
        "middle_name": "DAVID",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-23",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89013VR",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Douglas G Ririe, MD
• Jyoti Risal, MD
• Rise and Shine Counseling PLLC
• Rise Health, LLC (Rise Transportation)
• Rise Up Addiction Medicine & Pain Management PLLC (Medical Office)
• Rising Hope Clinical Assistance, LLC
• John Edward Ritchie, M.D.
• Rite Aid Pharmacy
• Rebecca Lynn Ritter, MSN, NNP-BC
• Rory Ritts Jr., MD

• Physician Assistant in Winston Salem, NC
• Providers in Winston Salem, 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 Aug 29, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.