Individual provider Active NPI

Neema Dave, PA-C

  • Physician Assistant
  • Lillington, NC
National Provider Identifier
1407354491
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001007856 Issued in NC
Practice address
350 Pine State St
Lillington, NC 27546-9428
Phone
(910) 893-9700
NPI assigned
Jan 25, 2018
Last updated
Mar 17, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 001007856 NC Primary

Addresses

Primary practice location

350 Pine State St
Lillington, NC 27546-9428

Mailing address

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

Other practice location 1

3528 Davis Dr
Morrisville, NC 27560-8819
Phone (919) 234-6016

Other practice location 2

5511 Ramsey St
Fayetteville, NC 28311-1497
Phone (910) 491-2744

Other practice location 3

1212 Central Dr Ste 201
Sanford, NC 27330-4170
Phone (919) 777-5455

Other practice location 4

325 S Walton Dr
Benson, NC 27504-9396
Phone (919) 894-1003

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
I20180326000701 NC Practitioner - Physician Assistant 0446512784 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Neurology and Pain Management, PLLCGroup PAC ID 6305895905, 15 clinicians

Practice addresses (Care Compare)

325 S Walton Dr
Benson, NC 27504-9396
Phone (919) 894-1003

350 Pine State St
Lillington, NC 27546-9428
Phone (910) 893-9700

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001007856NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Atlantic Radiology Associates PA Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: neemadave@napm.allscriptsdirect.net

Organizations & group practices 2

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.

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": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1407354491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 PINE STATE ST",
            "city": "LILLINGTON",
            "state": "NC",
            "postal_code": "275469428",
            "telephone_number": "910-893-9700"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3528 Davis Dr",
            "address_purpose": "LOCATION",
            "city": "Morrisville",
            "state": "NC",
            "postal_code": "275608819",
            "country_code": "US",
            "telephone_number": "919-234-6016",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5511 Ramsey St",
            "address_purpose": "LOCATION",
            "city": "Fayetteville",
            "state": "NC",
            "postal_code": "283111497",
            "country_code": "US",
            "telephone_number": "910-491-2744",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1212 Central Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304170",
            "country_code": "US",
            "telephone_number": "919-777-5455",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "325 S Walton Dr",
            "address_purpose": "LOCATION",
            "city": "Benson",
            "state": "NC",
            "postal_code": "275049396",
            "country_code": "US",
            "telephone_number": "919-894-1003",
            "fax_number": "919-894-1003",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DAVE",
        "first_name": "NEEMA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001007856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lillington, NC

Sources for this page

Verify at the official NPI Registry.