Individual provider Active NPI

Amber J Register, PA C

  • Dermatology Physician
  • Greensboro, NC
National Provider Identifier
1598852360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
103645 Issued in NC
Practice address
1305 W Wendover Ave
Suite D
Greensboro, NC 27408
Phone
(336) 333-9111
Fax
(336) 333-2042
NPI assigned
Oct 5, 2006
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 103645 NC Primary

Addresses

Primary practice location

1305 W Wendover Ave
Suite D
Greensboro, NC 27408

Mailing address

1305 W Wendover Ave
Suite D
Greensboro, NC 27408
Phone (336) 333-9111

Other identifiers 1

IdentifierTypeStateIssuer
P00041375OtherRR MEDICARE

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
I20100824000332 NC Practitioner - Physician Assistant 3274657507 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Wake Forest University School of Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
John H Hall Jr MD PAGroup PAC ID 9032296546, 3 clinicians

Practice addresses (Care Compare)

1305 W Wendover Ave
Suite D
Greensboro, NC 27408-8100
Phone (336) 333-9111

1305 W Wendover Ave D
Greensboro, NC 27408-8100

Merit-based Incentive Payment System (MIPS)

Final score
87.69 of 100Reported as group
Quality
95
Improvement activities
40
Cost
65.64

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
103645NCMDDermatology Physician

Organizations & group practices 1

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": "1160006400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1598852360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1305 W WENDOVER AVE",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-333-9111",
            "fax_number": "336-333-2042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1305 W WENDOVER AVE",
            "address_2": "SUITE D",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27408",
            "telephone_number": "336-333-9111",
            "fax_number": "336-333-2042"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REGISTER",
        "first_name": "AMBER",
        "middle_name": "J",
        "credential": "PA C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-05",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "103645",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00041375",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.