Individual provider Active NPI

Judith Cameron Maguire, PA-C

  • Physician Assistant
  • Southport, NC
National Provider Identifier
1720449010
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06175 Issued in NC
Practice address
3009 Medical Plaza LN
Southport, NC 28461-5194
Phone
(910) 457-3800
NPI assigned
Mar 14, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06175 NC Primary
Medical Physician Assistant 363AM0700X 0010-06175 NC

Addresses

Primary practice location

3009 Medical Plaza LN
Southport, NC 28461-5194

Mailing address

924 N Howe St
Southport, NC 28461-3038
Phone (910) 457-3800

Other names 1

  • Judith Cameron Chambers Former name

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
I20160509001786 NC Practitioner - Physician Assistant 8426357799 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Kernersville Emergency Group, PLLCGroup PAC ID 3375885429, 53 clinicians
J. Arthur Dosher Memorial HospitalGroup PAC ID 8921910324, shared by 6 NPIs, 53 clinicians
Tanglewood Park Physicians PLLCGroup PAC ID 3476895129, 47 clinicians

Practice addresses (Care Compare)

1750 Kernersville Medical Pkwy
Kernersville, NC 27284-7146
Phone (336) 564-4850

3009 Medical Plaza LN
Southport, NC 28461-5194
Phone (910) 457-3827

3550 White Spruce GLN
Southport, NC 28461-0078
Phone (404) 694-1587

6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone (336) 893-1000

Hospital & facility affiliations

  • J Arthur Dosher Memorial Hospital Hospital, Southport, NC, CCN 341327

Merit-based Incentive Payment System (MIPS)

Final score
97.86 of 100Reported as group
Quality
97.48
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
89.09 of 100Reported as group
Quality
84.49
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
86.5 of 100Reported as group
Quality
84.11
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
92.02 of 100Reported as group
Quality
82.48
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
3200SCMDSpeech-Language Pathologist
0010-06175NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
J. Arthur Dosher Memorial Hospital CurrentSince May 11, 2024 Accepting new patients
J Arthur Dosher Memorial Hospital CurrentSince May 11, 2024 Accepting new patients

Locations

823 N Atlantic Ave
Southport, NC 28461
Phone (910) 457-3827

924 N Howe St
Southport, NC 28461
Phone (910) 457-3800

Interoperability endpoints

  • Direct secure messaging: judith.maguire@dosher.eclinicaldirectplus.com

Organizations & group practices 9

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.

Hospital & facility affiliations 5

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788480000000",
    "number": "1720449010",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 N HOWE ST",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284613038",
            "telephone_number": "910-457-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3009 MEDICAL PLAZA LN",
            "city": "SOUTHPORT",
            "state": "NC",
            "postal_code": "284615194",
            "telephone_number": "910-457-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAGUIRE",
        "first_name": "JUDITH",
        "middle_name": "CAMERON",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06175",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-06175",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JUDITH",
            "last_name": "CHAMBERS",
            "middle_name": "CAMERON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Southport, NC

Sources for this page

Verify at the official NPI Registry.