Individual provider Active NPI

Ashton Mitchell Walker, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1417412180
Registry record updated Feb 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-09107 Issued in NC
Practice address
4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone
(336) 718-4510
Fax
(336) 718-4519
NPI assigned
Feb 6, 2019
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 13, 2024

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 0010-09107 NC Primary

Addresses

Primary practice location

4937 Old Country Club Rd
Winston Salem, NC 27104-5071

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

216 Moore Rd
King, NC 27021-8703
Phone (336) 983-4346

Other practice location 2

105 Vest Mill Cir
Winston Salem, NC 27103-2943
Phone (336) 718-7800

Other names 1

  • Ashton Lee Mitchell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address amitchell248639@direct.novanthealth.org

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
I20191226000877 NC Practitioner - Physician Assistant 4183058290 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

4937 Old Country Club Rd
Winston Salem, NC 27104-5071
Phone (336) 718-4510

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Oct 15, 2019 Accepting new patients
Noant Medical Group, Inc CurrentSince Oct 15, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

865 Westlake Dr
Mount Airy, NC 27030
Phone (336) 719-6100

4937 Old Country Club Rd
Winston Salem, NC 27104
Phone (336) 546-1666

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: amitchell248639@direct.novanthealth.org

Organizations & group practices 4

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": "1549411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707782400000",
    "number": "1417412180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4937 OLD COUNTRY CLUB RD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271045071",
            "telephone_number": "336-718-4510",
            "fax_number": "336-718-4519"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "216 Moore Rd",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270218703",
            "country_code": "US",
            "telephone_number": "336-983-4346",
            "fax_number": "336-985-5101",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "105 Vest Mill Cir",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271032943",
            "country_code": "US",
            "telephone_number": "336-718-7800",
            "fax_number": "336-718-7900",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WALKER",
        "first_name": "ASHTON",
        "middle_name": "MITCHELL",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-02-06",
        "last_updated": "2024-02-13",
        "certification_date": "2024-02-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-09107",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "amitchell248639@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "216 Moore Rd",
            "city": "King",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270218703",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ASHTON",
            "last_name": "MITCHELL",
            "middle_name": "LEE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.