Individual provider Active NPI

Charlene M Farthing, P.A.-C

  • Physician Assistant
  • Norton, VA
National Provider Identifier
1679627434
Registry record updated Feb 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-003809 Issued in VA
Practice address
280 Virginia Ave NE
Suite 106
Norton, VA 24273-1538
Phone
(276) 365-8071
Fax
(949) 862-3723
NPI assigned
Jan 22, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2014

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 0010-003809 VA Primary

Addresses

Primary practice location

280 Virginia Ave NE
Suite 106
Norton, VA 24273-1538

Mailing address

280 Virginia Ave NE
Suite 106
Norton, VA 24273-1538
Phone (276) 365-8071

Other identifiers 1

IdentifierTypeStateIssuer
VVB625AOtherVAPTAN

Other names 1

  • Miss Charlene M Snyder Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20160322002021 TN Practitioner - Physician Assistant 5193770303 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tricities Skin and Cancer.Group PAC ID 8527031954, 15 clinicians

Practice addresses (Care Compare)

1009 N State of Franklin Rd
Johnson City, TN 37604-3693
Phone (423) 929-7546

Merit-based Incentive Payment System (MIPS)

Final score
85.14 of 100Reported as group
Quality
76.93
Improvement activities
40
Cost
81.22

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-003809VAMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Appearance Dermatology LLC Past Accepting new patients
Dermone Dermatology Associates of Virginia PC Past Accepting new patients
Dermone of North Carolina PA PastSince Jul 1, 2017 Accepting new patients

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": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1393372800000",
    "number": "1679627434",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "280 VIRGINIA AVE NE",
            "address_2": "SUITE 106",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731538",
            "telephone_number": "276-365-8071",
            "fax_number": "949-862-3723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 VIRGINIA AVE NE",
            "address_2": "SUITE 106",
            "city": "NORTON",
            "state": "VA",
            "postal_code": "242731538",
            "telephone_number": "276-365-8071",
            "fax_number": "949-862-3723"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FARTHING",
        "first_name": "CHARLENE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "P.A.-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2014-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0010-003809",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PTAN",
            "identifier": "VVB625A",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CHARLENE",
            "last_name": "SNYDER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "P.A.-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Norton, VA

Sources for this page

Verify at the official NPI Registry.