Madelyn Laine Eudy, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001009701 Issued in NC

Practice address

349 Venus St
Monroe, NC 28112-4025

Phone

(980) 380-9901

Fax

(704) 541-6558

NPI assigned

Jan 7, 2020

Last updated

Apr 9, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Darst Dermatology PCGroup PAC ID 1850441908, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Darst Dermatology, PC

  • Dermatology Physician
  • Charlotte, NC
  • NPI 1740434158
  Medicare reassignment Care Compare group
• Charlotte Dermatopathology, Inc

  • Clinical Medical Laboratory
  • Charlotte, NC
  • NPI 1558515965
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1578355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1712620800000",
    "number": "1578103636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11301 GOLF LINKS DR N STE 203",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778014",
            "telephone_number": "704-321-3376"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "349 VENUS ST",
            "city": "MONROE",
            "state": "NC",
            "postal_code": "281124025",
            "telephone_number": "980-380-9901",
            "fax_number": "704-541-6558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EUDY",
        "first_name": "MADELYN",
        "middle_name": "LAINE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-01-07",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001009701",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Evan John Erickson, DDS
• Obinna Nnaemeka Eruchalu, MD
• Susana Estevez, LMBT
• Spora Mboe Esunju
• Lauren Ettus
• Riley Howell Eudy, FNP-C
• Evans Physical Therapy & Sport Performance, LLC (Evans Physical Therapy & Sport Performance)
• Anthony James Evans, DPT
• Everlasting Arms LLC
• Everside Health LLC (Virtual Health Center East)

• Physician Assistant in Monroe, NC
• Providers in Monroe, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 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.

Verify at the official NPI Registry.