Devron John Felder

Individual provider Active NPI Physician Assistant · Elon, NC

NPI 1740488485 · NPPES record last updated Dec 22, 2025

Key facts

NPI
1740488485
Entity type
Individual (NPI type 1)
Primary specialty
Physician Assistant 363A00000X
Practice address
762 E Haggard Ave
Elon, NC 27244-8417
Phone
(336) 278-2000
NPI assigned
Jul 3, 2007
Sex
Male
Sole proprietor
No

Organizations & group practices 6

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.

Medicare Care Compare profile

Specialty
Physician Assistant
Education
Other, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Iredell Physician Network LLC (91 clinicians)
Wake Forest Emergency Providers (497 clinicians)

Practice addresses (Care Compare)

Statesville, NC 28677
Phone (704) 838-2182

1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 716-2255

1540 E Broad St
Statesville, NC 28625-4302

766 Hartness Rd
Suite B
Statesville, NC 28677-3479

Medicare participation

Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20260604000485 NC Practitioner - Physician Assistant 5092286757 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Yes
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

762 E Haggard Ave
Elon, NC 27244-8417

Mailing address

762 E Haggard Ave
Elon, NC 27244-8417
Phone (336) 278-2000

Other providers in Elon, NC

All providers in Elon, NC · Physician Assistant in North Carolina

Sources for this page

Verify at the official NPI Registry.