Individual provider Active NPI

Mary Catherine Meadows, PA-C

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1679806566
Registry record updated Sep 10, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01981 Issued in NC
Practice address
1718 E 4TH St Ste 807
Charlotte, NC 28204-3280
Phone
(704) 375-5755
Fax
(704) 335-3380
NPI assigned
Sep 10, 2009
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 10, 2009

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 0010-01981 NC Primary

Addresses

Primary practice location

1718 E 4TH St Ste 807
Charlotte, NC 28204-3280

Mailing address

1718 E 4TH St Ste 807
Charlotte, NC 28204-3280
Phone (704) 375-5755

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
I20251220000845 NC Order and Referring Only - Physician Assistant 2264560283

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-01981NCMDPhysician Assistant

Interoperability endpoints

  • Direct secure messaging: cmeadows@urologyspecialistsnc.emadirect.md

NPI Registry JSON

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

{
    "created_epoch": "1252540800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252540800000",
    "number": "1679806566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 807",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043280",
            "telephone_number": "704-375-5755",
            "fax_number": "704-335-3380"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1718 E 4TH ST STE 807",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043280",
            "telephone_number": "704-375-5755",
            "fax_number": "704-335-3380"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "MARY",
        "middle_name": "CATHERINE",
        "name_prefix": "Miss",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-09-10",
        "last_updated": "2009-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01981",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.