Individual provider Active NPI

Jan Maree Pixton, PAC

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1497828511
Registry record updated Aug 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102080 Issued in NC
Practice address
1925A Oleander Dr
Wilmington, NC 28403-2334
Phone
(109) 251-7715
Fax
(109) 763-7845
NPI assigned
Nov 16, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 102080 NC Primary

Addresses

Primary practice location

1925A Oleander Dr
Wilmington, NC 28403-2334

Mailing address

PO Box 129
Holly Ridge, NC 28445-0129
Phone (910) 859-3586

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20120130000000 NC Practitioner - Physician Assistant 0143487462 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1985
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Dawson Med Urgent Care PC 6 clinicians
Dawson Med PC 8 clinicians

Practice addresses (Care Compare)

608 Dawson St
Wilmington, NC 28401-5712
Phone (910) 387-3745

Hospital & facility affiliations

  • Well Care Home Health Home health agency, Wilmington, NC, CCN 347002
  • Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
102080NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Smokey Mountain Healthcare Assoc PA Physician Assistant Past Accepting new patients
WNC Long Term Care Inc PastSince Aug 9, 2015 Accepting new patients
Smoky Mountain Medical Associates, P.a. Past Accepting new patients
Holly Ridge Chiropractic & Auto Injury PastSince Aug 1, 2015 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jan.pixton.2@24025.direct.athenahealth.com

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.

Hospital & facility affiliations 2

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

NPI Registry JSON

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661731200000",
    "number": "1497828511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 129",
            "city": "HOLLY RIDGE",
            "state": "NC",
            "postal_code": "284450129",
            "telephone_number": "910-859-3586",
            "fax_number": "866-251-5115"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1925A OLEANDER DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032334",
            "telephone_number": "109-251-7715",
            "fax_number": "109-763-7845"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIXTON",
        "first_name": "JAN",
        "middle_name": "MAREE",
        "name_prefix": "Ms.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2022-08-29",
        "certification_date": "2022-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102080",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.