Amy G. E. Brantley, PA
Individual provider Active NPI Physician Assistant · Goldsboro, NC
NPI 1508055872 · NPPES record last updated Mar 31, 2021
Key facts
- NPI
- 1508055872
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-01096 (NC)
- Practice address
- 2706 Medical Office PL
Goldsboro, NC 27534-9460 - Phone
- (919) 734-4736
- NPI assigned
- Oct 23, 2007
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 4
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past | Accepting new patients | |
| Goldsboro Pediatrics PA | Past |
Accepting new patients |
Interoperability endpoints
- abrantley@goldsboropeds.medentdirect.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-01096 | NC | Yes |
Addresses
Primary practice location
2706 Medical Office PL
Goldsboro, NC 27534-9460
Mailing address
4117 N Roxboro St
Durham, NC 27704-2121
Phone (919) 684-8111
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | abrantley@goldsboropediatrics.opdirect.net | Direct |
Other providers in Goldsboro, NC
- Christopher D. Boyle
- Heather B Bradshaw
- Martha Ray Bradshaw
- Bharat Mahendra Brahmbhatt
- Pamela Dawn Branson
- Philip K Brantly
- Breath of Life, Inc.
- Anissa Sheree Breland
- Brenda a. Taylor
- Bradley C Brenton
All providers in Goldsboro, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 31, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.