Active NPI
Abigail Camarota Mscisz, PA
- Physician Assistant
- Huntersville, NC
National Provider Identifier
1437416211
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 10305 Hamptons Park Dr Ste 201
Huntersville, NC 28078 - Phone
- (704) 295-3600
- NPI assigned
- Apr 18, 2012
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | Primary |
Addresses
Primary practice location
10305 Hamptons Park Dr Ste 201
Huntersville, NC 28078
Mailing address
9625 Northcross Center CT Ste 201
Huntersville, NC 28078-7353
Phone (704) 801-3097
Other practice location 1
300 Derry Rd
Hudson, NH 03051-3023
Phone (603) 579-5472
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PENDING | Medicaid | NC |
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0889 | NH | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Physicians Network Inc | Current | Accepting new patients | |
| South Lake Pediatrics | Current | Accepting new patients | |
| Carolinas Physicians Network, Inc | Current | Accepting new patients | |
| Carolinas Physicians Network Inc | Past | Accepting new patients |
Locations
14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650
9625 Northcross Center Ct
Ste 201
Huntersville, NC 28078
Phone (704) 801-3097
Interoperability endpoints
- acamarota499836@carolinashealthcaresystem.direct-ci.com
Organizations & group practices 5
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.
-
- Orthopaedic Surgery Physician
- Charlotte, NC
- NPI 1437607686
-
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1437038544
-
- Family Medicine Physician
- Belmont, NC
- NPI 1780077099
-
- Pediatrics Physician
- Huntersville, NC
- NPI 1295766079
-
- Pediatrics Physician
- Charlotte, NC
- NPI 1619582343
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1334707200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726185600000",
"number": "1437416211",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9625 NORTHCROSS CENTER CT STE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "280787353",
"telephone_number": "704-801-3097",
"fax_number": "704-838-8494"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10305 HAMPTONS PARK DR STE 201",
"city": "HUNTERSVILLE",
"state": "NC",
"postal_code": "28078",
"telephone_number": "704-295-3600"
}
],
"practiceLocations": [
{
"address_1": "300 Derry Rd",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "NH",
"postal_code": "030513023",
"country_code": "US",
"telephone_number": "603-579-5472",
"fax_number": "603-594-8754",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MSCISZ",
"first_name": "ABIGAIL",
"middle_name": "CAMAROTA",
"name_prefix": "Mrs.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-18",
"last_updated": "2024-09-13",
"certification_date": "2024-09-13",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PENDING",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Huntersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 2024; 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.