NPIMap

Individual provider Active NPI

Marlee Colligan Dalton, P.A.

  • Physician Assistant
  • Hendersonville, NC
National Provider Identifier
1508117763
Registry record updated Jun 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05143 Issued in NC
Practice address
80 Doctors Dr Ste 2
Hendersonville, NC 28792-7289
Phone
(828) 650-2748
Fax
(828) 650-2799
NPI assigned
Sep 27, 2012
Last updated
Jun 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2023

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 0010-05143 NC Primary

Addresses

Primary practice location

80 Doctors Dr Ste 2
Hendersonville, NC 28792-7289

Mailing address

PO Box 1869
Fletcher, NC 28732-1869
Phone (828) 687-5698

Other practice location 1

1388 Sand Hill Rd Ste 1
Candler, NC 28715-8937
Phone (828) 365-7652

Other identifiers 2

IdentifierTypeStateIssuer
029F7OtherNCBCBS NC
P01396804OtherNCRRMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141125000814 NC Practitioner - Physician Assistant 5395989057 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fletcher Hospital IncGroup PAC ID 5395658819, 302 clinicians

Practice addresses (Care Compare)

80 Doctors Dr
Hendersonville, NC 28792-7289

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-05143NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fletcher Hospital Inc CurrentSince Nov 1, 2014 Accepting new patients
Fletcher Hospital Inc. CurrentSince Nov 1, 2014 Accepting new patients

Locations

1388 Sand Hill Rd
Ste 1
Candler, NC 28715
Phone (828) 365-7652

80 Doctors Dr
Ste 2
Hendersonville, NC 28792
Phone (828) 650-2748

80 Doctors Dr
Ste 1
Hendersonvlle, NC 28792
Phone (282) 654-0073

Interoperability endpoints

  • Direct secure messaging: mdalton659336@adventhealth.direct-ci.com

Organizations & group practices 3

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.

Hospital & facility affiliations 5

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": "1348704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687132800000",
    "number": "1508117763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1869",
            "city": "FLETCHER",
            "state": "NC",
            "postal_code": "287321869",
            "telephone_number": "828-687-5698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 DOCTORS DR STE 2",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287927289",
            "telephone_number": "828-650-2748",
            "fax_number": "828-650-2799"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1388 Sand Hill Rd Ste 1",
            "address_purpose": "LOCATION",
            "city": "Candler",
            "state": "NC",
            "postal_code": "287158937",
            "country_code": "US",
            "telephone_number": "828-365-7652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DALTON",
        "first_name": "MARLEE",
        "middle_name": "COLLIGAN",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-09-27",
        "last_updated": "2023-06-19",
        "certification_date": "2023-06-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05143",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "029F7",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRMEDICARE",
            "identifier": "P01396804",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

Verify at the official NPI Registry.