Individual provider Active NPI

Alicia B Copland, PAC

  • Medical Physician Assistant
  • Burlington, NC
National Provider Identifier
1457358921
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
103330 Issued in NC
Practice address
1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone
(336) 538-1880
Fax
(336) 538-1895
NPI assigned
Jun 30, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 103330 NC Primary

Addresses

Primary practice location

1091 Kirkpatrick Rd
Burlington, NC 27215-9714

Mailing address

1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address acopland416446@direct.conehealth.com Direct

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
I20170919001746 NC Practitioner - Physician Assistant 4082988761 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1091 Kirkpatrick Rd
Burlington, NC 27215-9714
Phone (336) 538-1880

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 379-4307

2921 Crouse LN
Burlington, NC 27215-8833
Phone (336) 538-1880

945 Golf House W Rd
Whitsett, NC 27377-9260
Phone (336) 449-4946

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103330NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 1, 2023 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Oct 1, 2023 Accepting new patients
Moses Cone Affiliated Physicians, Inc. CurrentSince Jul 23, 2017 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1091 Kirkpatrick Rd
Burlington, NC 27215
Phone (336) 494-2063

2921 Crouse Ln
Burlington, NC 27215
Phone (336) 585-1212

300 E Wendover Ave
Greensboro, NC 27401
Phone (336) 663-5205

719 Green Valley Rd
Ste 305
Greensboro, NC 27408
Phone (336) 272-3696

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

Interoperability endpoints

  • Direct secure messaging: acopland416446@direct.conehealth.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.

Hospital & facility affiliations 2

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": "1120089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1457358921",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1091 KIRKPATRICK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-538-1880",
            "fax_number": "336-538-1895"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1091 KIRKPATRICK RD",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272159714",
            "telephone_number": "336-538-1880",
            "fax_number": "336-538-1895"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COPLAND",
        "first_name": "ALICIA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-30",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103330",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "acopland416446@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1091 Kirkpatrick Rd",
            "city": "Burlington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272159714",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Burlington, NC

Sources for this page

Verify at the official NPI Registry.