Jessica Swink Fulk, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-08139 Issued in NC

Practice address

268 Gillman Rd Ste a
Denver, NC 28037-7925

Phone

(704) 659-7830

Fax

(877) 881-8455

NPI assigned

Jun 15, 2018

Last updated

Jun 14, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Jessica Leanne Swink Former name

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

Merit-based Incentive Payment System (MIPS)

Final score

100 of 100Reported as group

Promoting interoperability

98

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jfulk986281@direct.unc.nchie.net

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.

• Opportunities Industrialization Center, Inc.

  dba Oic Family Medical Center Guardian Court

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1396103305
  Medicare reassignment NPD
• Eventus Wholehealth, PLLC

  • Family Medicine Physician
  • Concord, NC
  • NPI 1548759392
  Medicare reassignment
• Opportunities Industrialization Center, Inc

  dba Oic Family Medical Center LTC

  • Federally Qualified Health Center (FQHC)
  • Rocky Mount, NC
  • NPI 1932923950
  NPD

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

{
    "created_epoch": "1529020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686700800000",
    "number": "1467946277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9930 KINCEY AVE STE 165",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786541",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "268 GILLMAN RD STE A",
            "city": "DENVER",
            "state": "NC",
            "postal_code": "280377925",
            "telephone_number": "704-659-7830",
            "fax_number": "877-881-8455"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9930 Kincey Ave Ste 165",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280786541",
            "country_code": "US",
            "telephone_number": "704-947-5005",
            "fax_number": "877-881-8455",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FULK",
        "first_name": "JESSICA",
        "middle_name": "SWINK",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-15",
        "last_updated": "2023-06-14",
        "certification_date": "2023-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08139",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "SWINK",
            "middle_name": "LEANNE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maria Fowler
• Emily Megan Fox, PHARMD
• Frank Avason III, DMD, Ms, PA
• Shana Melinda Freeman, NURSE PRACTITIONER
• Patricia Marie Froneberger, LMBT, NMT
• Lisa Franck Gardner, LPT
• Andrea E Garmon, PHARMD
• Gaston Family Health Services, Inc. (Kintegra at Rock Springs Elementary)
• Gaston Family Health Services, Inc. (Kintegra at St James Elementary)
• Gaston Family Health Services, Inc. (Kintegra at Catawba Springs Elementary)

• Physician Assistant in Denver, NC
• Providers in Denver, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 14, 2023; 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.

Verify at the official NPI Registry.