Active NPI
Jonathan R Prentice, PA-C
- Surgical Physician Assistant
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgical Physician Assistant
- License
- 0010-02026
- Practice address
- 1234 Huffman Mill Rd
Burlington, NC 27215-8700 - Phone
- (336) 538-1234
- Fax
- (336) 538-2390
- NPI assigned
- Oct 7, 2009
- Last updated
- Jan 31, 2013
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Surgical Physician Assistant | 363AS0400X | 0010-02026 | NC | Primary |
Addresses
Primary practice location
1234 Huffman Mill Rd
Burlington, NC 27215-8700
Mailing address
PO Box 1717
Burlington, NC 27216-1717
Phone (336) 538-1234
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
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1111 Huffman Mill Rd
Burlington, NC 27215-8862
Phone (336) 584-5544
11550 Common Oaks Dr
Suite 100
Raleigh, NC 27614-8093
Phone (919) 220-5255
120 William Penn PLZ
Durham, NC 27704-2150
Phone (919) 220-5255
3100 Duraleigh Rd
Suite 100
Raleigh, NC 27612-8105
Phone (919) 788-8797
7810 NC Hwy 751
Durham, NC 27713-6850
Phone (919) 544-7270
799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079
910 W Williams St
Apex, NC 27502-5201
Phone (919) 363-1957
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.07 of 100
- Quality
- 85.94
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 77.63
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Emergeortho PA | Current | Accepting new patients | |
| Emergeortho PA | Current | Accepting new patients |
Locations
799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079
Interoperability endpoints
- jonathan.prentice.1@847.direct.athenahealth.com
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Orthopaedic Surgery Physician
- Durham, NC
- NPI 1376592964
-
- Durable Medical Equipment & Medical Supplies
- Eden, NC
- NPI 1841170222
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Durham, NC
- NPI 1437221785
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1254873600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1359590400000",
"number": "1467787531",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1717",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272161717",
"telephone_number": "336-538-1234",
"fax_number": "336-538-2390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1234 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272158700",
"telephone_number": "336-538-1234",
"fax_number": "336-538-2390"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PRENTICE",
"first_name": "JONATHAN",
"middle_name": "R",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-10-07",
"last_updated": "2013-01-31",
"status": "A"
},
"taxonomies": [
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": "NC",
"license": "0010-02026",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
- Kia Sarika Powers, PH.D
- Melanie Powers, LCMHCA
- Preferred Primary Care, PLLC
- Premier Home Health Care Services, Inc
- Premier Home Health Care Services, Inc.
- Preparing Adults and Children to Excel (Pace) Inc
- Prevention Diagnostics Services LLC
- Amy J Prichard, RPH
- Pride in North Carolina, LLC
- Primary Hope Outreach Center LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2013; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.