Individual provider Active NPI

Nathan Jeffrey Palmer, MPAS

  • Physician Assistant
  • Sanford, NC
National Provider Identifier
1669093233
Registry record updated Jun 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-12504 Issued in NC
Practice address
1135 Carthage St
Sanford, NC 27330-4162
Phone
(919) 774-2100
NPI assigned
May 5, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Military Health Care Provider 171000000X
Physician Assistant 363A00000X 0010-12504 NC Primary

Addresses

Primary practice location

1135 Carthage St
Sanford, NC 27330-4162

Mailing address

15 Steel CT
Cameron, NC 28326-9431
Phone (626) 715-6042

Other practice location 1

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 246-4140

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
I20221215000873 NC Practitioner - Physician Assistant 2567831415 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Pinehurst Medical Clinic IncGroup PAC ID 5991617169, 162 clinicians
Randall Robert Mercier PAGroup PAC ID 7315026549, 2 clinicians

Practice addresses (Care Compare)

1135 Carthage St
Sanford, NC 27330-4162
Phone (919) 774-2100

15 Regional Dr
Pinehurst, NC 28374-8850
Phone (910) 295-5511

200 Pavilion Way
Southern Pines, NC 28387-4561
Phone (910) 295-5511

205 Page Rd
Pinehurst, NC 28374-8749
Phone (910) 295-5511

288 S Ridgecrest Ave
Rutherfordton, NC 28139-2838
Phone (828) 286-5000

630 S Bennett St
Southern Pines, NC 28387-5920
Phone (910) 692-0873

Hospital & facility affiliations

  • Central Carolina Hospital Hospital, Sanford, NC, CCN 340020
  • Firsthealth Moore Regional Hospital Hospital, Pinehurst, NC, CCN 340115

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-12504NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Theoria Medical Physician Assistant CurrentSince Nov 7, 2022 Accepting new patients
Pinehurst Medical Clinic, Inc. CurrentSince Jul 22, 2024 Accepting new patients
Randall Robert Mercier PA CurrentSince Nov 1, 2025 Accepting new patients
Pinehurst Medical Clinic, Inc. Past Accepting new patients

Locations

41800 W 11 Mile Rd
Ste 109
Novi, MI 48375
Phone (833) 578-2763

915 Pee Dee Rd
Aberdeen, NC 28315
Phone (910) 690-1373

430 W Health Center Dr
Nags Head, NC 27959
Phone (252) 441-3116

205 Page Rd
Pinehurst, NC 28374
Phone (910) 295-9211

205 Rattlesnake Trl
Pinehurst, NC 28374
Phone (910) 295-1781

555 Carthage St
Sanford, NC 27330
Phone (919) 774-6518

200 Pavilion Way
Southern Pines, NC 28387
Phone (910) 235-3330

630 S Bennett St
Southern Pnes, NC 28387
Phone (910) 215-0873

Interoperability endpoints

  • Direct secure messaging: nathanpalmer@phmc.allscriptsdirect.net

Organizations & group practices 6

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": "1588636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719187200000",
    "number": "1669093233",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "15 STEEL CT",
            "city": "CAMERON",
            "state": "NC",
            "postal_code": "283269431",
            "telephone_number": "626-715-6042"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1135 CARTHAGE ST",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273304162",
            "telephone_number": "919-774-2100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 Pavilion Way",
            "address_purpose": "LOCATION",
            "city": "Southern Pines",
            "state": "NC",
            "postal_code": "283874561",
            "country_code": "US",
            "telephone_number": "910-246-4140",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PALMER",
        "first_name": "NATHAN",
        "middle_name": "JEFFREY",
        "credential": "MPAS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-05-05",
        "last_updated": "2024-06-24",
        "certification_date": "2024-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.