NPIMap

Individual provider Active NPI

Anna Grace Wooten, PA-C

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1508331455
Registry record updated Jun 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
75B Livingston St
Asheville, NC 28801-4353
Phone
(828) 258-8800
NPI assigned
Oct 8, 2018
Last updated
Jun 27, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 27, 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 NU Primary

Addresses

Primary practice location

75B Livingston St
Asheville, NC 28801-4353

Mailing address

PO Box 5105
Belfast, ME 04915-5100

Other practice location 1

250 Bmh Physicians Office Bldg
Maryville, TN 37804
Phone (865) 980-5244

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190206002356 TN Practitioner - Physician Assistant 1557609187 Reassigns benefits to 3 organizations
I20211112002431 NC Practitioner - Physician Assistant 1557609187 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Proactive Therapy of North Carolina IncGroup PAC ID 6305753120, shared by 5 NPIs, 540 clinicians

Practice addresses (Care Compare)

129 McDowell St
Asheville, NC 28801-4434
Phone (828) 258-8800

20 W Medical CT
Marion, NC 28752-4968
Phone (828) 659-8049

2585 Hendersonville Rd
Arden, NC 28704-9577
Phone (828) 258-8800

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3774TNMDClinical Neuropsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 17, 2021 Accepting new patients
University Health System Inc CurrentSince Jan 2, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Jun 17, 2021 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Sep 27, 2021 Accepting new patients
University Health System, Inc CurrentSince Jan 2, 2021 Accepting new patients
Emergeortho PA CurrentSince Sep 27, 2021 Accepting new patients
Senior Care Partners of East Tennessee, PLLC PastSince Jan 1, 2017 Accepting new patients

Locations

75B Livingston St
Asheville, NC 28801

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

321 Central Ave E
Jamestown, TN 38556
Phone (931) 704-9188

1940 Alcoa Hwy
Ste E260
Knoxville, TN 37920
Phone (865) 305-6955

Interoperability endpoints

  • Direct secure messaging: anna.wooten.1@847.direct.athenahealth.com

Organizations & group practices 9

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 1

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": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687824000000",
    "number": "1508331455",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75B LIVINGSTON ST",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288014353",
            "telephone_number": "828-258-8800"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 Bmh Physicians Office Bldg",
            "address_purpose": "LOCATION",
            "city": "Maryville",
            "state": "TN",
            "postal_code": "37804",
            "country_code": "US",
            "telephone_number": "865-980-5244",
            "fax_number": "856-980-5245",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOOTEN",
        "first_name": "ANNA",
        "middle_name": "GRACE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2023-06-27",
        "certification_date": "2021-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.