Courtney Prim, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-10727 Issued in NC

Practice address

1103 W D St
North Wilkesboro, NC 28659-4141

Phone

(336) 883-0029

Fax

(336) 863-1938

NPI assigned

Nov 27, 2020

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

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, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.84 of 100Reported as group

Quality

70.27

Promoting interoperability

98

Improvement activities

40

Cost

77.52

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: courtneyprim@bethanymed.allscriptsdirect.net

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.

• Bethany Medical Center

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1952404188
  Medicare reassignment Care Compare group
• Bethany Medical Center, PA

  • Family Medicine Physician
  • High Point, NC
  • NPI 1508459306
  NPD
• Bethany Medical Center

  • Pain Medicine (Anesthesiology) Physician
  • North Wilkesboro, NC
  • NPI 1508341736
  NPD (past)
• Bethany Medical Center

  • Anatomic Pathology & Clinical Pathology Physician
  • Kernersville, NC
  • NPI 1619398997
  NPD (past)
• Bethany Medical Center PA

  • Internal Medicine Physician
  • High Point, NC
  • NPI 1740381581
  NPD (past)
• Bethany Medical Center, PA

  • Cardiovascular Disease Physician
  • High Point, NC
  • NPI 1174722391
  NPD (past)

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

{
    "created_epoch": "1606435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1754956800000",
    "number": "1497359707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W D ST",
            "city": "NORTH WILKESBORO",
            "state": "NC",
            "postal_code": "286594141",
            "telephone_number": "336-883-0029",
            "fax_number": "336-863-1938"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PRIM",
        "first_name": "COURTNEY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-11-27",
        "last_updated": "2025-08-12",
        "certification_date": "2025-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208VP0000X",
            "taxonomy_group": "",
            "desc": "Pain Medicine, Pain Medicine",
            "state": "NC",
            "license": "0010-10727",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10727",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC STATE LICENSE",
            "identifier": "0010-10727",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Cassandra Poole, SLP
• Angela Ellis Powers, OTR/L, CHT, CLT
• Dawn Renee Precour, MSW
• Matthew Blair Price, RPH
• Shannon Price
• Pamela Jean Pritchard
• Lisa H Pruitt, MA/CCC-SLP
• Pruitthealth Hospice, Inc.
• Victor Randolph, MD
• Arlen R. Rash Jr., PHARMACIST

• Physician Assistant in North Wilkesboro, NC
• Providers in North Wilkesboro, 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 Aug 12, 2025; 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.