Individual provider Active NPI

Serana Spalding Markham, ANP

  • Gerontology Nurse Practitioner
  • Chapel Hill, NC
National Provider Identifier
1699001354
Registry record updated Dec 31, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gerontology Nurse PractitionerTaxonomy code 363LG0600X
License
5004540 Issued in NC
Practice address
6011 Farrington Road, Suite 101
Unc Geriatric Clinic
Chapel Hill, NC 27517
Phone
(919) 966-5945
Fax
(336) 251-1117
NPI assigned
Oct 30, 2009
Last updated
Dec 31, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 31, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gerontology Nurse Practitioner 363LG0600X 5004540 NC Primary

Addresses

Primary practice location

6011 Farrington Road, Suite 101
Unc Geriatric Clinic
Chapel Hill, NC 27517

Mailing address

5003 Old Clinic CB# 7550
Unc Hospitals, Unc-Som
Chapel Hill, NC 27599-7550
Phone (919) 966-5945

Other names 1

  • Miss Serana Lyzanne Marie Spalding Former name

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
I20091116000125 NC Practitioner - Nurse Practitioner 0345388187 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Galloway Ridge, IncGroup PAC ID 2062430929, 10 clinicians

Practice addresses (Care Compare)

101 Green Cedar LN
Chapel Hill, NC 27517-7222
Phone (919) 259-7934

101 Manning Dr
Chapel Hill, NC 27514-4220
Phone (984) 974-1000

50 Craggenmore Dr
Pittsboro, NC 27312-4001
Phone (919) 545-2603

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5004540NCMDGerontology Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Physicians Eldercare PA CurrentSince Oct 29, 2009 Accepting new patients
The Cedars of Chapel Hill Club, Inc CurrentSince Oct 21, 2015 Accepting new patients
The Cedars of Chapel Hill Club, Inc. CurrentSince Oct 21, 2015 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Nov 7, 2015 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

100 Cedar Club Cir
Chapel Hill, NC 27517
Phone (919) 259-7000

101 Green Cedar Ln
Chapel Hill, NC 27517
Phone (919) 259-7903

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

6011 Farrington Rd
Ste 101
Chapel Hill, NC 27517
Phone (919) 957-6599

4692 Brownsboro Rd
Winston Salem, NC 27106
Phone (336) 251-1114

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: sspalding101696@direct.unc.nchie.net

Organizations & group practices 6

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": "1256860800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1451520000000",
    "number": "1699001354",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5003 OLD CLINIC CB# 7550",
            "address_2": "UNC HOSPITALS, UNC-SOM",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997550",
            "telephone_number": "919-966-5945",
            "fax_number": "336-251-1117"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6011 FARRINGTON ROAD, SUITE 101",
            "address_2": "UNC GERIATRIC CLINIC",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "27517",
            "telephone_number": "919-966-5945",
            "fax_number": "336-251-1117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARKHAM",
        "first_name": "SERANA",
        "middle_name": "SPALDING",
        "name_prefix": "Mrs.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-30",
        "last_updated": "2015-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LG0600X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Gerontology",
            "state": "NC",
            "license": "5004540",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SERANA",
            "last_name": "SPALDING",
            "middle_name": "LYZANNE MARIE",
            "prefix": "MISS",
            "credential": "ANP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.