Individual provider Active NPI

Amanda Cairnes, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1720759145
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11660 Issued in NC
Practice address
195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone
(336) 768-6211
Fax
(336) 768-6869
NPI assigned
Sep 24, 2021
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 1188369 NC
Physician Assistant 363A00000X 0010-11660 NC Primary

Addresses

Primary practice location

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967

Mailing address

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone (336) 768-6211

Other identifiers 1

IdentifierTypeStateIssuer
0010-11660OtherNCNCMB

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
I20211129000048 NC Practitioner - Physician Assistant 4789074162 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists PAGroup PAC ID 6507849601, 26 clinicians

Practice addresses (Care Compare)

112 Kinderton Blvd
Advance, NC 27006-7302
Phone (336) 768-6211

137 Mount Calvary Rd
Suite a
Thomasville, NC 27360-3467
Phone (336) 768-6211

195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-5663

195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-6967
Phone (336) 768-6211

280 Broad St
F
Kernersville, NC 27284-2948
Phone (336) 768-6211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
81.46
Promoting interoperability
100
Improvement activities
40
Cost
76.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1188369NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, PA CurrentSince Aug 22, 2022 Accepting new patients

Locations

195 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 397-5264

2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621

Interoperability endpoints

  • Direct secure messaging: acairnes818803@direct.novanthealth.org

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 3

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": "1632441600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1720759145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIRNES",
        "first_name": "AMANDA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-09-24",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "1188369",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCMB",
            "identifier": "0010-11660",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.