Grover C Berryhill III, PA-C

Key facts

NPI

1528316635

Entity type

Individual (NPI type 1)

Primary specialty

Medical Physician Assistant 363AM0700X

Practice address

1 Medical Drive
Benson, NC 27504

Phone

(919) 894-1740

NPI assigned

Aug 21, 2012

Sex

Male

Sole proprietor

No

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.

• Advanced Spine and Pain Center, P.a. Pain Medicine (Physical Medicine & Rehabilitation) Physician · Benson, NC · NPI 1639317332
  Medicare reassignment Care Compare group NPD NC
• Brier Creek Integrated Pain & Spine PLLC Medical Specialty Clinic/Center · Raleigh, NC · NPI 1538352760
  Medicare reassignment NC
• Advanced Spine and Pain Center, P.a. Pain Medicine (Physical Medicine & Rehabilitation) Physician · Clayton, NC · NPI 1003275603
  Care Compare group
• Pain and Laser Cente PA Pain Medicine (Anesthesiology) Physician · Fayetteville, NC · NPI 1689878118
  NPD (past)

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2010

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Advanced Spine and Pain Center, P.a. (10 clinicians)

Practice addresses (Care Compare)

Medicare participation

Medicare fee-for-service enrollment

Enrolled in NC

Eligible to order & refer

Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

National Provider Directory

Medicare enrollment (NPD)

Yes

Practice roles

Locations

Specialties & licenses

Addresses

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Dec 16, 2014.

{
    "created_epoch": "1345507200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1418688000000",
    "number": "1528316635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DR",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275041177",
            "telephone_number": "919-894-1740"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 MEDICAL DRIVE",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "27504",
            "telephone_number": "919-894-1740"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRYHILL",
        "first_name": "GROVER",
        "middle_name": "C",
        "name_prefix": "Mr.",
        "name_suffix": "III",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-21",
        "last_updated": "2014-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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All providers in Benson, NC · Medical Physician Assistant in North Carolina