Individual provider Active NPI

Pamela Jean Burshop Pritchett, FNP-C

  • Family Nurse Practitioner
  • Gastonia, NC
National Provider Identifier
1487641007
Registry record updated Dec 20, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
201833 Issued in NC
Practice address
1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557
Phone
(704) 861-8669
Fax
(704) 865-5081
NPI assigned
Sep 29, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X F66531 SC
Primary Care Nurse Practitioner 363LP2300X 201833 NC
Family Nurse Practitioner 363LF0000X 201833 NC Primary

Addresses

Primary practice location

1895 Hoffman Rd Ste B
Gastonia, NC 28054-6557

Mailing address

PO Box 744786
Atlanta, GA 30374-4786
Phone (704) 834-2450

Other practice location 1

1201 Village Harbor Dr Ste 104
Lake Wylie, SC 29710-9276
Phone (803) 831-6859

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20040329001693 NC Practitioner - Nurse Practitioner 2365334679 Reassigns benefits to 2 organizations
I20120123000724 SC Practitioner - Nurse Practitioner 2365334679 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caromont Medical Group IncGroup PAC ID 3577476258, shared by 2 NPIs, 425 clinicians
Physiatry Consultants of NC PLLCGroup PAC ID 2567871643, 77 clinicians

Practice addresses (Care Compare)

1200 Village Harbor Dr
Lake Wylie, SC 29710-9092

1201 Village Harbor Dr
Suite 104
Lake Wylie, SC 29710-9276
Phone (803) 831-6859

1220 Spruce St
Belmont, NC 28012-3370
Phone (704) 825-5333

3003 Kensington Park Dr
New Bern, NC 28560-4401
Phone (252) 638-1818

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
41SCMDRegistered Dietitian
F66531SCMDFamily Nurse Practitioner
201833NCMDPrimary Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Caromont Medical Group Inc CurrentSince Mar 1, 2021 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 4, 2014 Accepting new patients
Caromont Medical Group Inc CurrentSince Jun 4, 2014 Accepting new patients
Carolinas Psychiatric Associates Christian Counseling Clinic PA Past Accepting new patients
Impact Carolina Services Past Accepting new patients

Locations

1223 Spruce St
Belmont, NC 28012
Phone (704) 316-2150

1220 Spruce St
Belmont, NC 28012
Phone (704) 825-5333

1895 Hoffman Rd
#A
Gastonia, NC 28054
Phone (704) 865-1749

660 Summit Crossing Pl
Ste 301
Gastonia, NC 28054
Phone (704) 854-8799

2240 Remount Rd
Gastonia, NC 28054
Phone (704) 671-5311

1895 Hoffman Rd
#B
Gastonia, NC 28054
Phone (704) 861-8669

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1200 Village Harbor Dr
Lake Wylie, SC 29710
Phone (704) 671-6400

1201 Village Harbor Dr
Ste 104
Lake Wylie, SC 29710
Phone (803) 831-6859

1200 Village Harbor Dr
Ste D
Lake Wylie, SC 29710
Phone (704) 671-6400

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1127952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1671494400000",
    "number": "1487641007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 744786",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303744786",
            "telephone_number": "704-834-2450",
            "fax_number": "704-671-5331"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1895 HOFFMAN RD STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546557",
            "telephone_number": "704-861-8669",
            "fax_number": "704-865-5081"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1201 Village Harbor Dr Ste 104",
            "address_purpose": "LOCATION",
            "city": "Lake Wylie",
            "state": "SC",
            "postal_code": "297109276",
            "country_code": "US",
            "telephone_number": "803-831-6859",
            "fax_number": "803-831-6860",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRITCHETT",
        "first_name": "PAMELA",
        "middle_name": "JEAN BURSHOP",
        "name_prefix": "Mrs.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-29",
        "last_updated": "2022-12-20",
        "certification_date": "2022-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "F66531",
            "primary": false
        },
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "NC",
            "license": "201833",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "201833",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

Verify at the official NPI Registry.