Mary Elizabeth Weaver Corey, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-04748 Issued in NC

Practice address

118 Gateway Blvd Ste a
Mooresville, NC 28117-6542

Phone

(704) 230-1302

Fax

(704) 230-1284

NPI assigned

Jan 14, 2014

Last updated

Nov 25, 2024By the provider in NPPES

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

Specialty

Physician Assistant

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Fora Dermatology PLLCGroup PAC ID 6305272543, 6 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: mcorey@foradermatology.emadirect.md

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.

• Fora Dermatology PLLC

  • MOHS-Micrographic Surgery Physician
  • Mooresville, NC
  • NPI 1366086597
  Medicare reassignment Care Compare group
• Emergency Medicine Physicians of Iredell County, PLLC

  • Emergency Medicine Physician
  • Statesville, NC
  • NPI 1104151109
  NPD (past)

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

{
    "created_epoch": "1389657600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732492800000",
    "number": "1699197467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "704-230-1302",
            "fax_number": "708-230-1284"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 GATEWAY BLVD STE A",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281176542",
            "telephone_number": "704-230-1302",
            "fax_number": "704-230-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COREY",
        "first_name": "MARY",
        "middle_name": "ELIZABETH WEAVER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-01-14",
        "last_updated": "2024-11-25",
        "certification_date": "2024-11-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-04748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Copper, LCMHC-A
• Thomas Michael Corazzo
• Erin Melissa Corbett, LCMHC
• Tiffany Corbett, LCMHC, LCAS
• Brittania Corbitt, NP
• Elizabeth Echeverria Correll, MA
• Heather Corsello, LCSWA
• Cortazzo Family Chiropractic PLLC (MaxLiving Chiropractic)
• Delaney Cortazzo, DC
• Cory D. McMahan, DDS, PLLC (Harbor Point Family Dentistry)

• Physician Assistant in Mooresville, NC
• Providers in Mooresville, 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 Nov 25, 2024; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.