Individual provider Active NPI

Rebecca Leigh Mansfield, PAC

  • Physician Assistant
  • Whiteville, NC
National Provider Identifier
1598017758
Registry record updated Jan 28, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06658 Issued in NC
Practice address
800 Jefferson St Ste 116
Whiteville, NC 28472-3702
Phone
(910) 642-2642
NPI assigned
Oct 11, 2012
Last updated
Jan 28, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180430000864 NC Practitioner - Physician Assistant 6305146796 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Goshen Medical Center Incorporated Current Accepting new patients
Goshen Medical Center Incorporated CurrentSince Mar 1, 2018 Accepting new patients
Goshen Medical Center Incorporated CurrentSince Mar 1, 2018 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

  • Direct secure messaging: rmansfield@crhn.cernerdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.