Jeffrey Steven Wright, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102379 Issued in NC

Practice address

209 Park St
Suite 500
Belmont, NC 28012-5205

Phone

(704) 829-0025

Fax

(704) 829-0031

NPI assigned

Sep 30, 2005

Last updated

Oct 13, 2011By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

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.

• Caromont Medical Group Inc

  • Family Medicine Physician
  • Stanley, NC
  • NPI 1972301380
  NPD (past)
• Caromont Medical Group, Inc.

  dba CaroMont Critical Care Specialists

  • Critical Care Medicine (Internal Medicine) Physician
  • Gastonia, NC
  • NPI 1932380953
  NPD (past)

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

{
    "created_epoch": "1128038400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1318464000000",
    "number": "1750378287",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "209 PARK ST",
            "address_2": "SUITE 500",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125205",
            "telephone_number": "704-829-0025",
            "fax_number": "704-829-0031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 PARK ST",
            "address_2": "SUITE 500",
            "city": "BELMONT",
            "state": "NC",
            "postal_code": "280125205",
            "telephone_number": "704-829-0025",
            "fax_number": "704-829-0031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WRIGHT",
        "first_name": "JEFFREY",
        "middle_name": "STEVEN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-30",
        "last_updated": "2011-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Charlotte Marie Wise, MD
• Mairin Elizabeth Wood, ATC
• Daren Eric Woodward, DO
• Grayce Lyn Workman, RBT
• David John Wright, D.C.
• Bradley Alan Wruble, O.D.
• Rachael Anne Wruble, O.D.
• Leslie Ann Wyatt, M.ED.
• Andol Stephen Yeh, MD
• Jennifer P Yelton, LPC

• Physician Assistant in Belmont, NC
• Providers in Belmont, 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 Oct 13, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.