Sallie Elliott Corse, PA-C

Key facts

NPI

1548707698

Entity type

Individual (NPI type 1)

Primary specialty

Physician Assistant 363A00000X

License

0010-07064 (NC)

Practice address

800 Tilghman Dr
Dunn, NC 28334

Phone

(910) 892-1000

NPI assigned

Jan 27, 2017

Sex

Female

Sole proprietor

No

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 and National Provider Directory roles.

• Select Medical Services PLLC Family Medicine Physician · Raleigh, NC · NPI 1124501085
  Medicare reassignment Care Compare group NC
• The Carolinas Emergency Group, PLLC Emergency Medicine Physician · Dunn, NC · NPI 1477508836
  Medicare reassignment NC
• Rex Hospital Inc Cardiovascular Disease Physician · Raleigh, NC · NPI 1972939643
  NPD (past)

Medicare Care Compare profile

Specialty

Physician Assistant

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Select Medical Services, PLLC (6 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

Credentials

Physician Assistant

Practice roles

Interoperability endpoints

• Direct secure messaging: scorse502706@direct.medicine.duke.edu

Specialties & licenses

Addresses

Other names

• Sallie Blades Elliott Former name

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on May 14, 2024.

{
    "created_epoch": "1485475200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715644800000",
    "number": "1548707698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345510",
            "telephone_number": "910-892-1000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 TILGHMAN DR",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "28334",
            "telephone_number": "910-892-1000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "300 Kite Dr",
            "address_purpose": "LOCATION",
            "city": "Fuquay Varina",
            "state": "NC",
            "postal_code": "275262113",
            "country_code": "US",
            "telephone_number": "919-616-5260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CORSE",
        "first_name": "SALLIE",
        "middle_name": "ELLIOTT",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-27",
        "last_updated": "2024-05-14",
        "certification_date": "2024-05-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07064",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SALLIE",
            "last_name": "ELLIOTT",
            "middle_name": "BLADES",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

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• Caroline Cook
• Adrianne Beth Cool
• Vidette V Cooper, MD
• Core Family Care Inc.
• Gwendolyn Christanne Coxum
• Ryan Craddock, CADC, LCAS-A
• Jacqueline Ann Crete, MSED., CCC-SLP
• Melanie G Crumpler, MSW, LCSW
• Cumberland County Hospital System Inc

All providers in Dunn, NC · Physician Assistant in North Carolina