Active NPI
Nancy Laura Thayer, PAC
- Physician Assistant
- Sylva, NC
National Provider Identifier
1497968473
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-03237
- Practice address
- 176 Walmart Plaza
Sylva Urgent Care
Sylva, NC 28879 - Phone
- (828) 631-9462
- NPI assigned
- May 7, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | PA1700 | FL | |
| Physician Assistant | 363A00000X | 0010-03237 | NC | Primary |
Addresses
Primary practice location
176 Walmart Plaza
Sylva Urgent Care
Sylva, NC 28879
Mailing address
PO Box 195
8442 Hwy 107 North
Glenville, NC 28736-0195
Phone (828) 743-4136
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 292781100 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-03237 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ipn Emergency Physicians of North Florida PA | Physician Assistant | Past | Accepting new patients |
| Gainesville Emergency Medical Associates PA | Past | Accepting new patients | |
| Gainesville Urgent Care Associates, PA | Past | Accepting new patients | |
| Starke Hma Medical Group LLC | Past | Accepting new patients |
Organizations & group practices 4
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.
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1164759890
-
- Emergency Medicine Physician
- Gainesville, FL
- NPI 1770863177
-
- Emergency Medicine Physician
- Starke, FL
- NPI 1619287158
Physician Assistant
-
- Family Medicine Physician
- Starke, FL
- NPI 1417276650
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178496000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1361145600000",
"number": "1497968473",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 195",
"address_2": "8442 HWY 107 NORTH",
"city": "GLENVILLE",
"state": "NC",
"postal_code": "287360195",
"telephone_number": "828-743-4136",
"fax_number": "828-743-4136"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "176 WALMART PLAZA",
"address_2": "SYLVA URGENT CARE",
"city": "SYLVA",
"state": "NC",
"postal_code": "28879",
"telephone_number": "828-631-9462"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THAYER",
"first_name": "NANCY",
"middle_name": "LAURA",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-07",
"last_updated": "2013-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA1700",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-03237",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "292781100",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.