NPIMap

Individual provider Active NPI

Patrick John Feron, PA-C

  • Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1699782789
Registry record updated Feb 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00059 Issued in NC
Practice address
10 Aviemore Dr
Pinehurst, NC 28374-9700
Phone
(910) 715-8700
Fax
(910) 715-8761
NPI assigned
Aug 2, 2006
Last updated
Feb 26, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2015

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 0010-00059 NC Primary

Addresses

Primary practice location

10 Aviemore Dr
Pinehurst, NC 28374-9700

Mailing address

PO Box 9788
Belfast, ME 04915-9788
Phone (910) 715-8700

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050823000894 NC Practitioner - Physician Assistant 1456382027 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00059NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Apr 20, 2011 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth-Unc Maternal-Fetal Medicine CurrentSince Apr 20, 2011 Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients
FHPG, LLC CurrentSince Jan 1, 2015 Accepting new patients

Locations

923 W 3rd St
Pembroke, NC 28372
Phone (910) 521-0564

10 Aviemore Dr
Pinehurst, NC 28374
Phone (910) 215-5555

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

5 First Village Dr
Pinehurst, NC 28374
Phone (910) 235-2713

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424908800000",
    "number": "1699782789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 9788",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049159788",
            "telephone_number": "910-715-8700",
            "fax_number": "910-715-8761"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10 AVIEMORE DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283749700",
            "telephone_number": "910-715-8700",
            "fax_number": "910-715-8761"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FERON",
        "first_name": "PATRICK",
        "middle_name": "JOHN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-02",
        "last_updated": "2015-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00059",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.