Individual provider Active NPI

Meghan Francesca Dematta, PA-C

  • Physician Assistant
  • Cary, NC
National Provider Identifier
1609351055
Registry record updated Nov 20, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10346 Issued in NC
Practice address
601 Keisler Dr
Ste 200
Cary, NC 27518-6567
Phone
(919) 859-4744
Fax
(919) 859-5834
NPI assigned
Oct 2, 2018
Last updated
Nov 20, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10346 NC Primary

Addresses

Primary practice location

601 Keisler Dr
Ste 200
Cary, NC 27518-6567

Mailing address

601 Keisler Dr
Ste 200
Cary, NC 27518-6567
Phone (919) 859-4744

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
I20200812001724 NC Practitioner - Physician Assistant 7719303437 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of Florida College of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mann Ear Nose and Throat Clinic PAGroup PAC ID 6507946597, 8 clinicians

Practice addresses (Care Compare)

601 Keisler Dr
Suite 200
Cary, NC 27518-6566

601 Keisler Dr
Suite 200
Cary, NC 27518-6567
Phone (919) 859-4744

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10346NCMDPhysician Assistant

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": "1538438400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1700438400000",
    "number": "1609351055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186567",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-5834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 KEISLER DR",
            "address_2": "STE 200",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275186567",
            "telephone_number": "919-859-4744",
            "fax_number": "919-859-5834"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEMATTA",
        "first_name": "MEGHAN",
        "middle_name": "FRANCESCA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-02",
        "last_updated": "2023-11-20",
        "certification_date": "2023-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10346",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.