Paula Christine Reyes, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-11964 Issued in NC

Practice address

58 Physicians Dr NW Ste 103
Supply, NC 28462-4216

Phone

(910) 794-5355

NPI assigned

Oct 13, 2021

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Brody School of Medicine at East Carolina University, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Summit Cosmetic Surgery Center,PAGroup PAC ID 7911973987, 11 clinicians

Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

88.68 of 100Reported as group

Quality

83.12

Promoting interoperability

100

Improvement activities

40

Cost

79.15

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: paular@summitderma.emadirect.md

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.

• Raleigh Medical Group, PA

  • Internal Medicine Physician
  • Raleigh, NC
  • NPI 1104962315
  Medicare reassignment Care Compare group NPD
• Summit Cosmetic Surgery Center,PA

  • Surgery Physician
  • Wilmington, NC
  • NPI 1922061092
  Medicare reassignment Care Compare group
• Preston Dermatology & Skin Surgery Center PA

  • Dermatology Physician
  • Cary, NC
  • NPI 1508395468
  Medicare reassignment
• Flynn Dermatology PA

  • Specialist
  • Raleigh, NC
  • NPI 1588674568
  NPD (past)
• Bogalusa Physical Therapy, LLC

  • Physical Therapist
  • Bogalusa, LA
  • NPI 1124220983
  NPD (past)

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

{
    "created_epoch": "1634083200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668470400000",
    "number": "1649933979",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR NW STE 103",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624216",
            "telephone_number": "910-794-5355"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "58 PHYSICIANS DR NW STE 103",
            "city": "SUPPLY",
            "state": "NC",
            "postal_code": "284624216",
            "telephone_number": "910-794-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REYES",
        "first_name": "PAULA",
        "middle_name": "CHRISTINE",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-10-13",
        "last_updated": "2022-11-15",
        "certification_date": "2022-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joan Shelton Phillips, FNPBC
• Nyisha Powell, CFPS
• Wendy Mechell Price, COTA/L
• Christian Dee Privette
• Stephanie A Reeves, LCSWA
• Kendall Rice, MS CCC-SLP
• Jennifer Rich, PMHNP-BC
• Erica A Roberts, NP
• Cambi Rogers
• Brittney Jean Rouse, M.A.ED, LCMHCA, NCC

• Physician Assistant in Supply, NC
• Providers in Supply, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2022; 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.