Active NPI
Judy Lee Kasper, PA-C
- Physician Assistant
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03068
- Practice address
- 3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013 - Phone
- (336) 718-7080
- Fax
- (336) 718-9622
- NPI assigned
- Nov 5, 2009
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-03068 | NC | Primary |
Addresses
Primary practice location
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 718-7080
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkasper513791@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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2009
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1950 S Hawthorne Rd
Winston Salem, NC 27103-3912
Phone (336) 718-8386
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
6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone (336) 718-7080
Hospital & facility affiliations
- Novant Health Forsyth Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Cornerstone Health Care, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
6915 Village Medical Cir
Clemmons, NC 27012
Phone (336) 718-1680
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600
Organizations & group practices 7
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.
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Allergy & Immunology Physician
- Winston Salem, NC
- NPI 1508291741
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Rheumatology Physician
- Kernersville, NC
- NPI 1073951166
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1134841802
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1257379200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603670400000",
"number": "1497082820",
"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",
"telephone_number": "336-718-7080",
"fax_number": "336-718-9622"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3333 SILAS CREEK PKWY",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271033013",
"telephone_number": "336-718-7080",
"fax_number": "336-718-9622"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KASPER",
"first_name": "JUDY",
"middle_name": "LEE",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-11-05",
"last_updated": "2020-10-26",
"certification_date": "2020-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03068",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkasper513791@direct.novanthealth.org",
"affiliation": "N",
"address_1": "3333 Silas Creek Pkwy",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271033013",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Winston Salem, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.