Active NPI
Rebecca Leigh Mansfield, PAC
- Physician Assistant
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06658
- Practice address
- 800 Jefferson St Ste 116
Whiteville, NC 28472-3702 - Phone
- (910) 642-2642
- NPI assigned
- Oct 11, 2012
- Last updated
- Jan 28, 2018
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-06658 | NC | Primary |
| Physician Assistant | 363A00000X | PA9106756 | FL |
Addresses
Primary practice location
800 Jefferson St Ste 116
Whiteville, NC 28472-3702
Mailing address
1035 Lanterns LN
Leland, NC 28451-9381
Phone (229) 886-9532
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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
5 Whiteville Town Ctr
Whiteville, NC 28472
Phone (910) 212-6613
800 Jefferson St
Ste 116
Whiteville, NC 28472
Phone (910) 640-1763
Interoperability endpoints
- rmansfield@crhn.cernerdirect.com
- rmansfield@goshenmedical.cloudcraftdirect.com
Organizations & group practices 5
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.
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
- Federally Qualified Health Center (FQHC)
- Jacksonville, NC
- NPI 1669797700
-
dba Goshen Medical Center-Whiteville Mobile Unit
- Federally Qualified Health Center (FQHC)
- Whiteville, NC
- NPI 1538407036
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1517097600000",
"number": "1598017758",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1035 LANTERNS LN",
"city": "LELAND",
"state": "NC",
"postal_code": "284519381",
"telephone_number": "229-886-9532"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "800 JEFFERSON ST STE 116",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723702",
"telephone_number": "910-642-2642"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MANSFIELD",
"first_name": "REBECCA",
"middle_name": "LEIGH",
"credential": "PAC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-11",
"last_updated": "2018-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-06658",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "FL",
"license": "PA9106756",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2018; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.