Individual provider Active NPI

Linda Fay Ferrand, PA

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1750355293
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
101915 Issued in NC
Practice address
1000 Brabham LN
Jacksonville, NC 28546-5003
Phone
(910) 341-3300
Fax
(910) 251-2067
NPI assigned
Feb 13, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 101915 NC
Medical Physician Assistant 363AM0700X NC 101915 NC
Physician Assistant 363A00000X 101915 NC Primary

Addresses

Primary practice location

1000 Brabham LN
Jacksonville, NC 28546-5003

Mailing address

718 W Corbett Ave
Swansboro, NC 28584-8452
Phone (910) 326-5588

Other practice location 1

718 W Corbett Ave
Swansboro, NC 28584-8452
Phone (910) 326-5588

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
I20151001002887 NC Practitioner - Physician Assistant 4688806219 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
101915NCMDPhysician Assistant
NC 101915NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wilmington Health PLLC CurrentSince Jun 26, 2017 Accepting new patients
Wilmington ASC LLC CurrentSince Jun 26, 2017 Accepting new patients
Joseph F Colligan MD Past Accepting new patients

Locations

1000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 347-1515

1202 Medical Center Dr
Wilmington, NC 28401
Phone (910) 617-6705

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1750355293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 W CORBETT AVE",
            "city": "SWANSBORO",
            "state": "NC",
            "postal_code": "285848452",
            "telephone_number": "910-326-5588",
            "fax_number": "910-326-6923"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BRABHAM LN",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285465003",
            "telephone_number": "910-341-3300",
            "fax_number": "910-251-2067"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "718 W Corbett Ave",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285848452",
            "country_code": "US",
            "telephone_number": "910-326-5588",
            "fax_number": "910-326-6923",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERRAND",
        "first_name": "LINDA",
        "middle_name": "FAY",
        "name_prefix": "Ms.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "101915",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "NC 101915",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "101915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.