Penny Mooney Pope, FNP-BC

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5006312 Issued in NC

Practice address

172 W Independence Blvd
Mount Airy, NC 27030-3566

Phone

(336) 415-5851

Fax

(336) 415-5854

NPI assigned

Jul 30, 2013

Last updated

Oct 18, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• Penny Mooney Pope Other 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

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Afc Urgent Care and Family Care of WNC, PLLC

  dba Afc Urgent Care

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1679066658
  Medicare reassignment NPD
• Pope Medical Associates Inc

  • Family Medicine Physician
  • Mount Airy, NC
  • NPI 1508385428
  Authorized official Same address or phone

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

{
    "created_epoch": "1375142400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1476748800000",
    "number": "1497187629",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303566",
            "telephone_number": "336-415-5851",
            "fax_number": "336-415-5854"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 W INDEPENDENCE BLVD",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270303566",
            "telephone_number": "336-415-5851",
            "fax_number": "336-415-5854"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POPE",
        "first_name": "PENNY",
        "middle_name": "MOONEY",
        "credential": "FNP-BC",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-30",
        "last_updated": "2016-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5006312",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5006312",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1124486832",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "PENNY",
            "last_name": "POPE",
            "middle_name": "MOONEY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Piedmont Anesthesia Associates, PA
• Piedmont Stone Center
• Frantz Eli Pierre, M.D
• Pope Medical Associates Inc
• Pope Medical Associates Inc
• Paul Poretta
• Ann Bartz Potter, FNP
• Pqa Healthcare, Inc
• Pqa Healthcare,Inc
• Premium Home Care LLC

• Nurse Practitioner in Mount Airy, NC
• Providers in Mount Airy, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.