NPIMap

Individual provider Active NPI

Christopher John Comfort, PA-C

  • Physician Assistant
  • Mocksville, NC
National Provider Identifier
1700892072
Registry record updated Sep 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
104151 Issued in NC
Practice address
1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone
(336) 716-7435
Fax
(336) 702-9277
NPI assigned
Jul 31, 2006
Last updated
Sep 4, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2025

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 104151 NC Primary

Addresses

Primary practice location

1188 Yadkinville Rd
Mocksville, NC 27028-2037

Mailing address

293 Old Mocksville Rd
Statesville, NC 28625-1930
Phone (704) 872-8711

Other practice location 1

293 Old Mocksville Road
Statesville, NC 28625-1903
Phone (704) 872-8711

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address robert.wodecki@direct.carolinaspecialty.nextgenshare.com

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
I20050224000686 NC Practitioner - Physician Assistant 3072566595 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1188 Yadkinville Rd
Mocksville, NC 27028-2037
Phone (336) 753-1555

312 Jonestown Rd
Winston Salem, NC 27104-4621
Phone (336) 716-7576

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
90.49 of 100Reported as group
Quality
92.38
Improvement activities
40
Cost
74.03

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
104151NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jul 7, 2025 Accepting new patients
Carolina Specialty Care, PA CurrentSince Mar 13, 2006 Accepting new patients

Locations

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

124 Sunset Hill Rd
Statesville, NC 28625
Phone (704) 872-8711

293 Old Mocksville Rd
Statesville, NC 28625
Phone (704) 872-8711

100 Kimel Forest Dr
Winston Salem, NC 27103
Phone (336) 713-0947

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: ccomfort3013953@carolinashealthcaresystem.direct-ci.com

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 11

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": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1756944000000",
    "number": "1700892072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "293 OLD MOCKSVILLE RD",
            "city": "STATESVILLE",
            "state": "NC",
            "postal_code": "286251930",
            "telephone_number": "704-872-8711",
            "fax_number": "704-872-5866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1188 YADKINVILLE RD",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270282037",
            "telephone_number": "336-716-7435",
            "fax_number": "336-702-9277"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "293 Old Mocksville Road",
            "address_purpose": "LOCATION",
            "city": "Statesville",
            "state": "NC",
            "postal_code": "286251903",
            "country_code": "US",
            "telephone_number": "704-872-8711",
            "fax_number": "704-872-5866",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "COMFORT",
        "first_name": "CHRISTOPHER",
        "middle_name": "JOHN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2025-09-04",
        "certification_date": "2025-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "104151",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "robert.wodecki@direct.carolinaspecialty.nextgenshare.com",
            "affiliation": "N",
            "address_1": "293 Old Mocksville Road",
            "city": "Statesville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286251903",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

Verify at the official NPI Registry.