Individual provider Active NPI

Mariah Falls, PA-C

  • Physician Assistant
  • Shelby, NC
National Provider Identifier
1679149769
Registry record updated Oct 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
502 Suttle St
Shelby, NC 28150-4535
Phone
(704) 418-4309
NPI assigned
May 31, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X Primary

Addresses

Primary practice location

502 Suttle St
Shelby, NC 28150-4535

Mailing address

502 Suttle St
Shelby, NC 28150-4535

Other practice location 1

3400 Taylor St
Honolulu, HI 96818-3320
Phone (704) 418-4309

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI
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
I20220913002084 HI Practitioner - Physician Assistant 7416332309 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Castle Medical Center CurrentSince Jul 23, 2025 Accepting new patients
Castle Medical Center CurrentSince Jul 23, 2025 Accepting new patients
Aulike Health Partners, LLC PastSince Nov 29, 2020 Accepting new patients

Locations

30 Aulike St
Ste 500
Kailua, HI 96734
Phone (808) 263-8822

640 Ulukahiki St
Kailua, HI 96734
Phone (808) 261-3326

Interoperability endpoints

  • Direct secure messaging: mariah.littlejohn@30137067438084.direct.elationemr.com

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1622419200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696291200000",
    "number": "1679149769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "502 SUTTLE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504535"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "502 SUTTLE ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281504535",
            "telephone_number": "704-418-4309"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3400 Taylor St",
            "address_purpose": "LOCATION",
            "city": "Honolulu",
            "state": "HI",
            "postal_code": "968183320",
            "country_code": "US",
            "telephone_number": "704-418-4309",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FALLS",
        "first_name": "MARIAH",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-05-31",
        "last_updated": "2023-10-03",
        "certification_date": "2023-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.