Martha C Nelson, PAC

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103639 Issued in NC

Practice address

451 Ruin Creek Rd
Suite 101
Henderson, NC 27536-2878

Phone

(252) 492-9565

Fax

(252) 492-5373

NPI assigned

May 19, 2006

Sex

Female

Sole proprietor

No

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: mnelson3096@direct.medicine.duke.edu

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.

• Duke Health Integrated Practice, Inc.

  • General Practice Physician
  • Durham, NC
  • NPI 1205553369
  Medicare reassignment NPD
• Duke Health Integrated Practice, Inc.

  • Family Medicine Physician
  • Mooresville, NC
  • NPI 1760288633
  NPD

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

{
    "created_epoch": "1147996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1679526420",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-492-9565",
            "fax_number": "252-492-5373"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "451 RUIN CREEK RD",
            "address_2": "SUITE 101",
            "city": "HENDERSON",
            "state": "NC",
            "postal_code": "275362878",
            "telephone_number": "252-492-9565",
            "fax_number": "252-492-5373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NELSON",
        "first_name": "MARTHA",
        "middle_name": "C",
        "name_prefix": "Mrs.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103639",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dennis Lane Myers, D.C.
• Myeyedr Optometry of North Carolina, PLLC
• Jadyn Mychal Myrick
• Jerome F.X. Naradzay, MD
• Anissa M Neira, BCBA
• New Direction Ministries, Incorporated
• New Direction Ministries, Incorporated
• Vu Ngoc Nguyen, PHARMD
• Richard Johnston Noel, DDS
• Robert Frederick Noel Jr., M.D.

• Physician Assistant in Henderson, NC
• Providers in Henderson, 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 Jul 8, 2007; 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.

Verify at the official NPI Registry.