Ashley Tipper

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

0010-08197 Issued in NC

Practice address

293 Old Mocksville Rd
Statesville, NC 28625-1930

Phone

(704) 872-8711

NPI assigned

Jun 28, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Electronic endpoints 1

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

Specialty

Physician Assistant

Education

Other, 2018

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Iredell Memorial Hospital Inc Hospital, Statesville, NC, CCN 340039

Merit-based Incentive Payment System (MIPS)

Final score

90.49 of 100Reported as group

Quality

92.38

Improvement activities

40

Cost

74.03

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• Iredell Physician Network LLC

  • General Practice Physician
  • Statesville, NC
  • NPI 1811381593
  Medicare reassignment Care Compare group NPD
• Carolina Specialty Care, PA

  • Legal Medicine
  • Statesville, NC
  • NPI 1275596439
  Medicare reassignment
• Iredell Physician Network LLC

  dba Iredell Ear, Nose and Throat

  • Otolaryngology Physician
  • Statesville, NC
  • NPI 1447063920
  NPD
• Iredell Physician Network LLC

  dba Bremnor Family Medicine

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1780822288
  NPD (past)
• Iredell Physician Network, LLC

  dba Iredell Pain Management

  • Pain Medicine Physician
  • Statesville, NC
  • NPI 1619679750
  NPD (past)

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

• Iredell Memorial Hospital, Incorporated

  • General Acute Care Hospital
  • Statesville, NC
  • NPI 1417944224
  Care Compare affiliation

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

{
    "created_epoch": "1530144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771027200000",
    "number": "1629563945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "766 HARTNESS RD STE B",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286773485",
            "telephone_number": "704-873-5667",
            "fax_number": "704-883-3228"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "293 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-872-8711"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TIPPER",
        "first_name": "ASHLEY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-06-28",
        "last_updated": "2026-02-14",
        "certification_date": "2026-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-08197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.wodecki@direct.carolinaspecialty.nextgenshare.com",
            "affiliation": "N",
            "address_1": "293 Old Mocksville Road",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286251903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Brandy Ann Thompson, CDA
• Hayley Brooke Thompson
• Tiffany Cherie Thompson, CNM
• Engle Ashley Tillotson
• Maggie Rose Timmerman, LCSW-A
• Michael Leon Tjahjadi, MD
• TK Education and Consulting Solutions PLLC
• Tko Anesthesia PA
• Susan Helene Todd, LPN
• Jessica Tomlin, M.S. CCC-SLP

• Medical Physician Assistant in Statesville, NC
• Providers in Statesville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.