Individual provider Active NPI

Nathan W Heath, PA-C

  • Physician Assistant
  • Knightdale, NC
National Provider Identifier
1740780386
Registry record updated Sep 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07924 Issued in NC
Practice address
6602 Knightdale Blvd Ste 202
Knightdale, NC 27545-6526
Phone
(929) 747-5270
Fax
(919) 747-5271
NPI assigned
Feb 20, 2018
Last updated
Sep 25, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 25, 2024

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 0010-07924 NC Primary

Addresses

Primary practice location

6602 Knightdale Blvd Ste 202
Knightdale, NC 27545-6526

Mailing address

812 N Harrison Ave
Cary, NC 27513-3901
Phone (828) 215-9602

Other practice location 1

613 S Memorial Dr
Greenville, NC 27834-2856
Phone (828) 413-0720

Other practice location 2

514 N Brightleaf Blvd Ste 1610
Smithfield, NC 27577-4486
Phone (919) 938-7187

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address nheath857939@direct.UNC.nchie.net Direct

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
I20180504000228 NC Practitioner - Physician Assistant 8628332301 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

6013 Farrington Rd
Suite 101
Chapel Hill, NC 27517-8173
Phone (919) 957-6610

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0010-07924NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC Family Medicine CurrentSince Jun 21, 2022 Accepting new patients
Unc Physicians Network, LLC Family Medicine CurrentSince Jun 21, 2022 Accepting new patients
Greenville Health Care Center,PA Family Medicine Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

34 Healthpark Way
Ste 100
Clayton, NC 27520
Phone (919) 585-8850

37 Pineville Blvd
#102
Clayton, NC 27527
Phone (919) 346-8680

6602 Knightdale Blvd
Ste 202
Knightdale, NC 27545
Phone (919) 747-5270

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

514 N Brightleaf Blvd
Ste 1610
Smithfield, NC 27577
Phone (919) 934-8171

Interoperability endpoints

  • Direct secure messaging: nheath857939@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 1

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": "1519084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727222400000",
    "number": "1740780386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "812 N HARRISON AVE",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275133901",
            "telephone_number": "828-215-9602",
            "fax_number": "919-747-5271"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6602 KNIGHTDALE BLVD STE 202",
            "city": "KNIGHTDALE",
            "state": "NC",
            "postal_code": "275456526",
            "telephone_number": "929-747-5270",
            "fax_number": "919-747-5271"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "613 S Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342856",
            "country_code": "US",
            "telephone_number": "828-413-0720",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "514 N Brightleaf Blvd Ste 1610",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275774486",
            "country_code": "US",
            "telephone_number": "919-938-7187",
            "fax_number": "919-938-7201",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEATH",
        "first_name": "NATHAN",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-02-20",
        "last_updated": "2024-09-25",
        "certification_date": "2024-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07924",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "nheath857939@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "514 N Brightleaf Blvd Ste 1610",
            "city": "Smithfield",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275774486",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Knightdale, NC

Sources for this page

Verify at the official NPI Registry.