Active NPI
John Clifton Harper Jr., P.A.
- Medical Physician Assistant
- Clemmons, NC
National Provider Identifier
1659519551
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-01665
- Practice address
- 2235 Lewisville Clemmons Rd
Clemmons, NC 27012-8999 - Phone
- (336) 722-7266
- Fax
- (336) 201-0538
- NPI assigned
- Jan 30, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-01665 | NC | Primary |
Addresses
Primary practice location
2235 Lewisville Clemmons Rd
Clemmons, NC 27012-8999
Mailing address
713 S Marshall St
Winston Salem, NC 27101-5808
Phone (336) 722-7266
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2759471 | Other | NC | MEDICARE PTAN |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Alamance Regional Medical Center, Inc | Past | Accepting new patients | |
| Waterway Emergency Physicians LLC | Past | Accepting new patients | |
| North Carolina Em I Medical Services P C | Past | Accepting new patients | |
| Wellmood PLLC | Past | Accepting new patients |
Organizations & group practices 5
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.
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dba ARMC Health Care Employee Pharmacy
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-
- Physician Assistant
- Elizabeth City, NC
- NPI 1255581443
-
- Emergency Medicine Physician
- Elizabeth City, NC
- NPI 1487804670
-
- Psychiatry Physician
- Winston Salem, NC
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1684195200000",
"number": "1659519551",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "713 S MARSHALL ST",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271015808",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2235 LEWISVILLE CLEMMONS RD",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128999",
"telephone_number": "336-722-7266",
"fax_number": "336-201-0538"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HARPER",
"first_name": "JOHN",
"middle_name": "CLIFTON",
"name_suffix": "Jr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-30",
"last_updated": "2023-05-16",
"certification_date": "2023-05-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-01665",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "2759471",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clemmons, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.