Individual provider Active NPI

Ariana Brooke Tsalamandris, PA-C

  • Physician Assistant
  • Lumberton, NC
National Provider Identifier
1679286470
Registry record updated Dec 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
2936 N Elm St Ste 102
Lumberton, NC 28358-2981
Phone
(910) 671-6619
Fax
(910) 608-0487
NPI assigned
Dec 27, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 27, 2022

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 NC Primary

Addresses

Primary practice location

2936 N Elm St Ste 102
Lumberton, NC 28358-2981

Mailing address

10415 US Highway 301 N
Lumberton, NC 28360-8467
Phone (910) 318-4757

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
I20230220000537 NC Practitioner - Physician Assistant 9335511427 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2936 N Elm St
Suite 102
Lumberton, NC 28358-2981
Phone (910) 671-6619

395 W 27TH St
Lumberton, NC 28358-3018
Phone (910) 739-7551

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.78 of 100Reported as group
Quality
81.28
Promoting interoperability
100
Improvement activities
40
Cost
80.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Regional Physician Services CurrentSince Feb 8, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Feb 8, 2023 Accepting new patients

Locations

1249 Chicken Foot Rd
Ste C
Hope Mills, NC 28348
Phone (910) 735-8122

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

2936 N Elm St
#102
Lumberton, NC 28358
Phone (910) 671-6619

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

812 Candy Park Rd
Ste 5103
Pembroke, NC 28372
Phone (910) 671-6619

Interoperability endpoints

  • Direct secure messaging: atsalamandris975342@direct.unc.nchie.net

Organizations & group practices 3

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 2

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": "1672099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672099200000",
    "number": "1679286470",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10415 US HIGHWAY 301 N",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283608467",
            "telephone_number": "910-318-4757"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2936 N ELM ST STE 102",
            "city": "LUMBERTON",
            "state": "NC",
            "postal_code": "283582981",
            "telephone_number": "910-671-6619",
            "fax_number": "910-608-0487"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TSALAMANDRIS",
        "first_name": "ARIANA",
        "middle_name": "BROOKE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-12-27",
        "last_updated": "2022-12-27",
        "certification_date": "2022-12-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lumberton, NC

Sources for this page

Verify at the official NPI Registry.