NPIMap

Individual provider Active NPI

Pamela Blanks Cavanaugh, MD

  • Internal Medicine Physician
  • Asheville, NC
National Provider Identifier
1639152218
Registry record updated Sep 4, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9500783 Issued in NC
Practice address
4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700
Phone
(828) 258-0397
Fax
(828) 258-3390
NPI assigned
Nov 28, 2005
Last updated
Sep 4, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9500783 NC Primary

Addresses

Primary practice location

4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700

Mailing address

4 Vanderbilt Park Drive
Suite 100
Asheville, NC 28803-1700
Phone (828) 258-0397

Other identifiers 2

IdentifierTypeStateIssuer
8921771MedicaidNC
21771OtherNCBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100322000270 NC Practitioner - Internal Medicine 9638204209 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Alabama School of Medicine, 1990
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians

Practice addresses (Care Compare)

4 Vanderbilt Park Dr
Suite 100
Asheville, NC 28803-2476
Phone 82825803971112

55 Piney Mountain Dr
Asheville, NC 28805-1297
Phone (828) 252-1915

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.39 of 100Reported as apm
Quality
77.7
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
9500783NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Internal Medicine Associates, PA Internal Medicine CurrentSince Feb 3, 2010 Accepting new patients

Locations

275 McDowell St
Asheville, NC 28803
Phone (828) 258-0397

4 Vanderbilt Park Dr
Ste 100
Asheville, NC 28803
Phone (828) 258-0397

44 Haywood Park Dr
Clyde, NC 28721
Phone (828) 258-0397

Interoperability endpoints

  • Direct secure messaging: pamela.cavanaugh.1@31813.direct.athenahealth.com
  • Direct secure messaging: pamelacavanaugh@cim.allscriptsdirect.net

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.

Hospital & facility affiliations 8

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": "1133136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346716800000",
    "number": "1639152218",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-258-0397",
            "fax_number": "828-258-3390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 VANDERBILT PARK DRIVE",
            "address_2": "SUITE 100",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288031700",
            "telephone_number": "828-258-0397",
            "fax_number": "828-258-3390"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAVANAUGH",
        "first_name": "PAMELA",
        "middle_name": "BLANKS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-28",
        "last_updated": "2012-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9500783",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8921771",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "21771",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.