Individual provider Active NPI

Rebecca Dyan Cono, PA

  • Physician Assistant
  • Kernersville, NC
National Provider Identifier
1457449795
Registry record updated Jun 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00363 Issued in NC
Practice address
1730 Kernersville Medical Pkwy Ste 204
Kernersville, NC 27284-7198
Phone
(336) 277-4460
Fax
(336) 992-2674
NPI assigned
Oct 11, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2023

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 0010-00363 NC Primary

Addresses

Primary practice location

1730 Kernersville Medical Pkwy Ste 204
Kernersville, NC 27284-7198

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

404 Westwood Ave
Suite 205
High Point, NC 27262-4315
Phone (336) 884-1400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address rcono222597@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
I20070210000078 NC Practitioner - Physician Assistant 8527005792 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Medical College of Georgia School of Medicine, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLC 2,413 clinicians

Practice addresses (Care Compare)

1622 Highwoods Blvd
Unit G105
Greensboro, NC 27410-2048
Phone (336) 660-5200

1730 Kernersville Medical Pkwy
Kernersville, NC 27284-7198

1750 Kernersville Med PK
Kernersville, NC 27284-7146
Phone (336) 564-4727

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4866

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

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

5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572

6431 Old Plank Rd
High Point, NC 27265-3274
Phone (336) 875-6530

Hospital & facility affiliations

  • Novant Health Forsyth Medical Center Hospital, Winston-Salem, NC, CCN 340014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00363NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Feb 1, 2015 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

7210 Village Medical Cir
Ste 110
Clemmons, NC 27012
Phone (336) 893-2400

6431 Old Plank Rd
High Point, NC 27265
Phone (336) 875-6530

1730 Kernersville Medical Pkwy
Ste 204
Kernersville, NC 27284
Phone (336) 277-4460

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

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

Organizations & group practices 17

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.

View all 17

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": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687478400000",
    "number": "1457449795",
    "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": "1730 KERNERSVILLE MEDICAL PKWY STE 204",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847198",
            "telephone_number": "336-277-4460",
            "fax_number": "336-992-2674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "404 Westwood Ave",
            "address_2": "Suite 205",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272624315",
            "country_code": "US",
            "telephone_number": "336-884-1400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CONO",
        "first_name": "REBECCA",
        "middle_name": "DYAN",
        "name_prefix": "Mrs.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2023-06-23",
        "certification_date": "2023-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00363",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "rcono222597@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "404 Westwood Ave",
            "address_2": "Suite 205",
            "city": "High Point",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272624315",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.