Jeffrey Drew Anderson, P.A.-C.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-04177 Issued in NC

Practice address

1638 Owen Drive
Cape Fear Valley Medical Center Emergency Department
Fayetteville, NC 28314-2000

Phone

(910) 615-8000

Fax

(910) 321-6250

NPI assigned

Aug 17, 2011

Last updated

Jun 19, 2013By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Other names 1

• J. Drew Anderson Professional 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

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wake Emergency Physicians PAGroup PAC ID 9931002078, 269 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Unc Health Nash Hospital, Rocky Mount, NC, CCN 340147

Merit-based Incentive Payment System (MIPS)

Final score

82.58 of 100Reported as group

Quality

75.66

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: janderson550556@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.

• Wake Emergency Physicians PA

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1922063387
  Medicare reassignment Care Compare group
• NHCS Physicians Inc

  dba Nash Critical Care

  • Cardiovascular Disease Physician
  • Rocky Mount, NC
  • NPI 1801252275
  Medicare reassignment
• NHCS Physicians, Inc.

  dba UNC Medical and Hematology Oncology at Nash

  • Hematology & Oncology Physician
  • Rocky Mount, NC
  • NPI 1932652492
  NPD
• Wake Emergency Physicians PA

  • Emergency Medicine Physician
  • Clayton, NC
  • NPI 1225268238
  NPD
• Wake Emergency Physicians PA

  dba RelyMD

  • Emergency Medicine Physician
  • Cary, NC
  • NPI 1265923205
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Nash Hospitals Inc

  dba Nash General Hospital

  • General Acute Care Hospital
  • Rocky Mount, NC
  • NPI 1619969219
  Care Compare affiliation

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

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1371600000000",
    "number": "1487934865",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 2000 1638 OWEN DRIVE",
            "address_2": "CAPE FEAR VALLEY MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142000",
            "telephone_number": "910-615-8000",
            "fax_number": "910-321-6250"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1638 OWEN DRIVE",
            "address_2": "CAPE FEAR VALLEY MEDICAL CENTER EMERGENCY DEPARTMENT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283142000",
            "telephone_number": "910-615-8000",
            "fax_number": "910-321-6250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "JEFFREY",
        "middle_name": "DREW",
        "name_prefix": "Mr.",
        "credential": "P.A.-C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-17",
        "last_updated": "2013-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "DE",
            "license": "C5-0000768",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "PA",
            "license": "MA054881",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-04177",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "J.",
            "last_name": "ANDERSON",
            "middle_name": "DREW",
            "credential": "P.A.-C.",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Caitlin Anderson, SLP
• Cynthia Marie Anderson, MA, LPCA
• Elizabeth Michelle Anderson, LPC
• Euraja Anderson
• Germaine Anderson
• Mackenzie Anderson, DPT
• Mykayli Rose Anderson
• Paulby Anderson, RPH
• Shaquan Anderson
• Tenika Anderson, CRNA

• Medical Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 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.

Verify at the official NPI Registry.