Individual provider Active NPI

Mark Vincent McMurtray, P.A.-C

  • Physician Assistant
  • Holly Springs, NC
National Provider Identifier
1437257573
Registry record updated Jan 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101211 Issued in NC
Practice address
500 Holly Springs Rd
Suite 100
Holly Springs, NC 27540-6204
Phone
(919) 557-6667
Fax
(919) 557-0344
NPI assigned
Sep 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 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 101211 NC Primary

Addresses

Primary practice location

500 Holly Springs Rd
Suite 100
Holly Springs, NC 27540-6204

Mailing address

5156 NC Highway 42 W
Garner, NC 27529-8417
Phone (919) 329-5000

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
I20050418001077 NC Practitioner - Physician Assistant 4183662463 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

11491 Clayton Blvd
Clayton, NC 27520-2207
Phone (919) 560-2484

11491 US 70 Business Hwy W
Clayton, NC 27520-2207
Phone (919) 550-2484

1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone (919) 719-0119

150 Francam Dr
Suite 120
Fayetteville, NC 28311-4500
Phone (910) 487-1100

202 Village Rd NE
Leland, NC 28451-7414
Phone (910) 782-3600

212 N Spence Ave
Goldsboro, NC 27534-4318
Phone (919) 778-0851

220 US 70 Hwy W
Garner, NC 27529-3943
Phone (919) 779-7890

2503 Forest Hills Rd W
Suite B
Wilson, NC 27893-3392
Phone (252) 991-0555

2908 N Herritage St
Kinston, NC 28501-1580
Phone (252) 523-3111

5080 Kahn Dr
Lumberton, NC 28358-2302
Phone (910) 738-5588

5156 Veterans Pkwy
Garner, NC 27529-8417
Phone (919) 329-5000

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

910 N Madison Blvd
Suite B
Roxboro, NC 27573-4573
Phone (336) 592-2230

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed Primary Care, P.C. Past Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705276800000",
    "number": "1437257573",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5156 NC HIGHWAY 42 W",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275298417",
            "telephone_number": "919-329-5000",
            "fax_number": "919-779-2834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 HOLLY SPRINGS RD",
            "address_2": "SUITE 100",
            "city": "HOLLY SPRINGS",
            "state": "NC",
            "postal_code": "275406204",
            "telephone_number": "919-557-6667",
            "fax_number": "919-557-0344"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMURTRAY",
        "first_name": "MARK",
        "middle_name": "VINCENT",
        "name_prefix": "Mr.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2024-01-15",
        "certification_date": "2024-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101211",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Holly Springs, NC

Sources for this page

Verify at the official NPI Registry.