Individual provider Active NPI

Maleah Dean Simpson-Meek, PA-C

  • Physician Assistant
  • Indian Trail, NC
National Provider Identifier
1710147319
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01295 Issued in NC
Practice address
4389 Indian Trail Fairview Rd Ste 7
Indian Trail, NC 28079-9640
Phone
(704) 218-9322
Fax
(704) 803-8126
NPI assigned
Jun 17, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 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 0010-01295 NC Primary

Addresses

Primary practice location

4389 Indian Trail Fairview Rd Ste 7
Indian Trail, NC 28079-9640

Mailing address

4389 Indian Trail Fairview Rd Ste 7
Indian Trail, NC 28079-9640
Phone (704) 218-9322

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20090305000734 NC Practitioner - Physician Assistant 9234295825 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

4389 Indian Trail Fairview Rd
Suite 7
Indian Trail, NC 28079-9640
Phone (704) 218-9322

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-01295NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2012 Accepting new patients
Imbue Health PLLC CurrentSince Jan 1, 2023 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Oct 1, 2012 Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

14214 Ballantyne Lake Rd
Ste 300
Charlotte, NC 28277
Phone (704) 446-5070

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

6030 W Highway 74
Ste D
Indian Trail, NC 28079
Phone (704) 226-0413

1423 E Franklin St
Ste D
Monroe, NC 28112
Phone (704) 289-6474

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.

NPI Registry JSON

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

{
    "created_epoch": "1213660800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1710147319",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4389 INDIAN TRAIL FAIRVIEW RD STE 7",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799640",
            "telephone_number": "704-218-9322",
            "fax_number": "704-803-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4389 INDIAN TRAIL FAIRVIEW RD STE 7",
            "city": "INDIAN TRAIL",
            "state": "NC",
            "postal_code": "280799640",
            "telephone_number": "704-218-9322",
            "fax_number": "704-803-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SIMPSON-MEEK",
        "first_name": "MALEAH",
        "middle_name": "DEAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-17",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01295",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Indian Trail, NC

Sources for this page

Verify at the official NPI Registry.