Active NPI
Matthew Paul Norman
- Physician Assistant
- Zebulon, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-13956
- Practice address
- 1260 N Arendell Ave
Zebulon, NC 27597-8730 - Phone
- (919) 235-1965
- NPI assigned
- Jul 14, 2022
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Physician Assistant | 363A00000X | 0010-13956 | NC | Primary |
Addresses
Primary practice location
1260 N Arendell Ave
Zebulon, NC 27597-8730
Mailing address
3709 Coach Lantern Ave
Wake Forest, NC 27587-3404
Phone (919) 610-2360
Other practice location 1
3709 Coach Lantern Ave
Wake Forest, NC 27587-3404
Phone (919) 610-2360
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, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10000 Falls of Neuse Rd
Raleigh, NC 27614-7838
Phone (919) 350-1300
1260 N Arendell Ave
Zebulon, NC 27597-8730
Phone (919) 235-1965
815 Springfield Commons Dr
Raleigh, NC 27609-8529
Phone (919) 235-1400
Hospital & facility affiliations
- Wakemed Home Health
- Wakemed, Raleigh Campus
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-13956 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Specialty Physicians | Current | Accepting new patients | |
| Wake Specialty Physicians, LLC | Physician Assistant | Past | Accepting new patients |
| Wake Specialty Physicians LLC | Past | Accepting new patients |
Locations
938 N Brightleaf Blvd
Smithfield, NC 27577
Phone (919) 235-1525
2001 S Main St
Wake Forest, NC 27587
Phone (919) 562-3155
1260 N Arendell Ave
Zebulon, NC 27597
Phone (919) 235-1326
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.
-
- Family Medicine Physician
- Wake Forest, NC
- NPI 1346852407
-
- Family Medicine Physician
- Morrisville, NC
- NPI 1174491138
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Raleigh, NC
- NPI 1467435842
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657756800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1712102400000",
"number": "1558095414",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3709 COACH LANTERN AVE",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275873404",
"telephone_number": "919-610-2360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 N ARENDELL AVE",
"city": "ZEBULON",
"state": "NC",
"postal_code": "275978730",
"telephone_number": "919-235-1965"
}
],
"practiceLocations": [
{
"address_1": "3709 Coach Lantern Ave",
"address_purpose": "LOCATION",
"city": "Wake Forest",
"state": "NC",
"postal_code": "275873404",
"country_code": "US",
"telephone_number": "919-610-2360",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "NORMAN",
"first_name": "MATTHEW",
"middle_name": "PAUL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-07-14",
"last_updated": "2024-04-03",
"certification_date": "2024-04-03",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-13956",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Zebulon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2024; 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.