Active NPI
Anna Succop Reigel, PA-C
- Physician Assistant
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- Practice address
- 5950 Fairview Rd Ste 808
Charlotte, NC 28210-2110 - Phone
- (980) 867-4440
- NPI assigned
- Oct 25, 2020
- Last updated
- Jul 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-10293 | NC | |
| Physician Assistant | 363A00000X | NC | Primary |
Addresses
Primary practice location
5950 Fairview Rd Ste 808
Charlotte, NC 28210-2110
Mailing address
13207 Caite Ridge Rd
Davidson, NC 28036-0450
Phone (704) 737-1945
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
2587 Ravenhill Dr
Fayetteville, NC 28303-5451
Phone (910) 323-1543
5950 Fairview Rd
Suite 808
Charlotte, NC 28210-2110
Phone (980) 867-4440
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Best Day Psychiatry and Counseling, PC | Psychiatry | Current | Accepting new patients |
| Best Day Psychiatry and Counseling, PC | Psychiatry | Current | Accepting new patients |
| Best Day Psychiatry and Counseling, PC | Psychiatry | Past | Accepting new patients |
| MC Family Medical, PLLC | Past | Accepting new patients | |
| FCRX Inc | Past | Accepting new patients |
Locations
5950 Fairview Rd
Ste 808
Charlotte, NC 28210
Phone (910) 323-1545
2587 Ravenhill Dr
Fayetteville, NC 28303
Phone (910) 323-1545
Organizations & group practices 5
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.
-
- Prescribing (Medical) Psychologist
- Fayetteville, NC
- NPI 1477506343
Psychiatry
-
- Psychiatry Physician
- Greenville, NC
- NPI 1982243309
-
- Psychiatry Physician
- Mount Pleasant, SC
- NPI 1467291542
-
- Pharmacy
- Charlotte, NC
- NPI 1366802407
-
- Family Medicine Physician
- Charlotte, NC
- NPI 1780825539
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1603584000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1657929600000",
"number": "1740889203",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "13207 CAITE RIDGE RD",
"city": "DAVIDSON",
"state": "NC",
"postal_code": "280360450",
"telephone_number": "704-737-1945"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5950 FAIRVIEW RD STE 808",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282102110",
"telephone_number": "980-867-4440"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REIGEL",
"first_name": "ANNA",
"middle_name": "SUCCOP",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-10-25",
"last_updated": "2022-07-16",
"certification_date": "2022-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-10293",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2022; 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.