Individual provider Active NPI

Elizabeth Ann Uhlenhake, PA

  • Medical Physician Assistant
  • Greensboro, GA
National Provider Identifier
1689335101
Registry record updated May 19, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
0010-13205 Issued in NC
Practice address
1210 Commerce Dr Ste 106
Greensboro, GA 30642-7447
Phone
(678) 806-9601
NPI assigned
Jan 6, 2022
Last updated
May 19, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 19, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 10921 GA
Medical Physician Assistant 363AM0700X 0010-13205 NC Primary

Addresses

Primary practice location

1210 Commerce Dr Ste 106
Greensboro, GA 30642-7447

Mailing address

PO Box 2
Burlington, NC 27216-0002
Phone (336) 226-0660

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
I20230531000753 NC Practitioner - Physician Assistant 6103211610 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alamance Ear Nose and Throat LLPGroup PAC ID 1355391566, 13 clinicians

Practice addresses (Care Compare)

3940 Arrowhead Blvd
Mebane, NC 27302-7637

4030 Oaks Professional Pkwy
Suite 201
Burlington, NC 27215-8491
Phone (336) 226-0660

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-13205NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
ENT of Georgia, LLC PastSince May 16, 2022 Accepting new patients

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1641427200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1684454400000",
    "number": "1689335101",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2",
            "city": "BURLINGTON",
            "state": "NC",
            "postal_code": "272160002",
            "telephone_number": "336-226-0660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1210 COMMERCE DR STE 106",
            "city": "GREENSBORO",
            "state": "GA",
            "postal_code": "306427447",
            "telephone_number": "678-806-9601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "UHLENHAKE",
        "first_name": "ELIZABETH",
        "middle_name": "ANN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-06",
        "last_updated": "2023-05-19",
        "certification_date": "2023-05-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "GA",
            "license": "10921",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-13205",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, GA

Sources for this page

Verify at the official NPI Registry.