Active NPI
Suzanne Gardiner Mahar, PA-C
- Physician Assistant
- Gatesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-00731
- Practice address
- 501 Main St
Gatesville, NC 27938-9424 - Phone
- (252) 357-1226
- Fax
- (252) 357-1236
- NPI assigned
- Dec 5, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 001000731 | NC | |
| Physician Assistant | 363A00000X | 0010-00731 | NC | Primary |
Addresses
Primary practice location
501 Main St
Gatesville, NC 27938-9424
Mailing address
501 Main St
Gatesville, NC 27938-9424
Phone (252) 357-1226
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070607000664 | NC | Practitioner - Physician Assistant | 4587762943 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Vital Health Partners LLC
Practice addresses (Care Compare)
364 White Oak St
Asheboro, NC 27203-5434
Phone (786) 985-3895
Hospital & facility affiliations
- Randolph Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-00731 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vital Health Partners LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Current | Accepting new patients | |
| American Healthcare Systems, LLC | Past | Accepting new patients |
Locations
6600 Cow Pen Rd
Ste 205
Miami Lakes, FL 33014
Phone (786) 292-0301
237 N Fayetteville St
Ste A
Asheboro, NC 27203
Phone (336) 625-3248
364 White Oak St
Asheboro, NC 27203
Phone (336) 625-5151
218 Foust St
Ste C
Asheboro, NC 27203
Phone (336) 625-2333
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- NPI 1184219222
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": "1165276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674691200000",
"number": "1700944238",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "501 MAIN ST",
"city": "GATESVILLE",
"state": "NC",
"postal_code": "279389424",
"telephone_number": "252-357-1226",
"fax_number": "252-357-1236"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 MAIN ST",
"city": "GATESVILLE",
"state": "NC",
"postal_code": "279389424",
"telephone_number": "252-357-1226",
"fax_number": "252-357-1236"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MAHAR",
"first_name": "SUZANNE",
"middle_name": "GARDINER",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-05",
"last_updated": "2023-01-26",
"certification_date": "2023-01-26",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "001000731",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-00731",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gatesville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 26, 2023; 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.