Active NPI
Deborah A Spada, PA-C
- Physician Assistant
- Shelby, NC
National Provider Identifier
1538239355
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101699
- Practice address
- 201 E Grover St
Shelby, NC 28150-3917 - Phone
- (919) 477-5152
- Fax
- (919) 477-5474
- NPI assigned
- Nov 9, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101699 | NC | Primary |
Addresses
Primary practice location
201 E Grover St
Shelby, NC 28150-3917
Mailing address
PO Box 15133
Durham, NC 27704-0133
Phone (919) 477-5152
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1993
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
201 E Grover St
Shelby, NC 28150-3917
Phone (704) 487-3131
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolinas Emergency Physicians, P.a. | Current | Accepting new patients |
Locations
706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108
201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000
Organizations & group practices 2
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
- Kings Mountain, NC
- NPI 1285952671
-
- Emergency Medicine Physician
- Shelby, NC
- NPI 1316264195
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163030400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1196812800000",
"number": "1538239355",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 15133",
"city": "DURHAM",
"state": "NC",
"postal_code": "277040133",
"telephone_number": "919-477-5152",
"fax_number": "919-477-5474"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "201 E GROVER ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281503917",
"telephone_number": "919-477-5152",
"fax_number": "919-477-5474"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPADA",
"first_name": "DEBORAH",
"middle_name": "A",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-09",
"last_updated": "2007-12-05",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101699",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.