Jessica Samantha Womble, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

Practice address

2409 Murchison Rd Ste B
Fayetteville, NC 28301-3519

Phone

(910) 488-4525

NPI assigned

Dec 30, 2024

Last updated

Dec 30, 2024By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Specialty

Physician Assistant

Education

North Carolina Medical School, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stedman-Wade Health Services, Inc.Group PAC ID 0042205189, 17 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jessica.womble.1@7912.direct.athenahealth.com

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.

• Stedman-Wade Health Services, Inc.

  dba Wade Family Medical Center Downtown

  • Federally Qualified Health Center (FQHC)
  • Fayetteville, NC
  • NPI 1609186790
  Medicare reassignment Care Compare group NPD (past)
• Stedman-Wade Health Services, Inc.

  • Federally Qualified Health Center (FQHC)
  • Wade, NC
  • NPI 1578534871
  NPD

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

{
    "created_epoch": "1735516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1720896350",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 449",
            "city": "WADE",
            "state": "NC",
            "postal_code": "283950449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MURCHISON RD STE B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013519",
            "telephone_number": "910-488-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7118 Main St",
            "address_purpose": "LOCATION",
            "city": "Wade",
            "state": "NC",
            "postal_code": "283959749",
            "country_code": "US",
            "telephone_number": "910-483-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WOMBLE",
        "first_name": "JESSICA",
        "middle_name": "SAMANTHA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-12-30",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Christine Wolfcale, FNP
• Wolinsky Primary Care, PA
• Sidney P. Wolinsky, PA-C
• Womack Army Medical Center (Fayetteville Medical Home-Bragg)
• Donna Jane Womack-Miller, MSW, LCSW
• Katherine Gayle Womble
• Katlyn Womble, PHARMD
• Womens Health Haven Obstetrics and Gynecology
• Womens Wellness Center, P.a.
• Ashley Wongk, M.D.

• Physician Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.

Verify at the official NPI Registry.