Individual provider Active NPI

Eric J Zufall, PA

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1619214756
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
001004014 Issued in NC
Practice address
6909 Prosperity Church Rd
Huntersville, NC 28078-6698
Phone
(704) 384-1425
Fax
(704) 384-1426
NPI assigned
Jan 9, 2013
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001004014 NC
Physician Assistant 363A00000X 001004014 NC Primary

Addresses

Primary practice location

6909 Prosperity Church Rd
Huntersville, NC 28078-6698

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-1425

Other identifiers 2

IdentifierTypeStateIssuer
1619214756OtherNCNPI
1528304235OtherNCNPI

Other names 1

  • Mr. Eric J Zufall Professional name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ezufall286968@direct.novanthealth.org

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
I20140623001911 NC Practitioner - Physician Assistant 0244460830 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, shared by 14 NPIs, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

5145 Sellers Rd
Shallotte, NC 28470-3405

6909 Prosperity Church Rd
Huntersville, NC 28078-6698

Hospital & facility affiliations

  • Novant Health Huntersville Medical Center Hospital, Huntersville, NC, CCN 340183
  • Novant Health Presbyterian Medical Center Hospital, Charlotte, NC, CCN 340053

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
001004014NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Mar 1, 2019 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2015 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 1, 2015 Accepting new patients
Cabarrus Rowan Community Health Centers, Inc. CurrentSince Jan 7, 2013 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Aug 17, 2019 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

1901 Randolph Rd
Charlotte, NC 28207
Phone (704) 316-2000

10816 Black Dog Ln
Ste 160
Charlotte, NC 28214
Phone (704) 316-3970

10810 Mallard Creek Rd
Charlotte, NC 28262
Phone (704) 510-8000

517 S Sharon Amity Rd
Charlotte, NC 28211
Phone (704) 384-1406

335 N Caswell Rd
Charlotte, NC 28204
Phone (704) 384-7390

200 Greenwich Rd
Charlotte, NC 28211
Phone (704) 384-8680

8201 Healthcare Loop
Ste 305
Charlotte, NC 28215
Phone (980) 302-3050

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

5325 Vinning St NW
Ste 101
Concord, NC 28027
Phone (704) 316-1040

202D McGill Ave NW
Concord, NC 28025
Phone (704) 792-2242

7752 Gateway Ln NW
Ste 100
Concord, NC 28027
Phone (704) 316-4950

9955 Poplar Tent Rd
Concord, NC 28027
Phone (704) 316-1161

19485 Old Jetton Rd
Ste 100
Cornelius, NC 28031
Phone (704) 316-5170

19830 Zion Ave
Cornelius, NC 28031
Phone (704) 384-1782

6909 Prosperity Church Rd
Huntersville, NC 28078
Phone (704) 316-1830

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725

14330 Oakhill Park Ln
Ste 200B
Huntersville, NC 28078
Phone 7043161265 ext. 6856

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 10

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1357689600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1619214756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-1425",
            "fax_number": "704-384-1426"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6909 PROSPERITY CHURCH RD",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280786698",
            "telephone_number": "704-384-1425",
            "fax_number": "704-384-1426"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ZUFALL",
        "first_name": "ERIC",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-01-09",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001004014",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001004014",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1619214756",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1528304235",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ezufall286968@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6909 Prosperity Church Rd",
            "city": "Huntersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280786698",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "ERIC",
            "last_name": "ZUFALL",
            "middle_name": "J",
            "prefix": "MR.",
            "credential": "PA-C",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.