Individual provider Active NPI

Joseph Cain, PAC

  • Medical Physician Assistant
  • Pinehurst, NC
National Provider Identifier
1750747895
Registry record updated Nov 22, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
001006129 Issued in NC
Practice address
125 Fox Hollow Rd
Suite 210
Pinehurst, NC 28374-8592
Phone
(910) 295-7546
Fax
(910) 692-2831
NPI assigned
Jan 5, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 22, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 001006129 NC Primary

Addresses

Primary practice location

125 Fox Hollow Rd
Suite 210
Pinehurst, NC 28374-8592

Mailing address

125 Fox Hollow Rd
Suite 210
Pinehurst, NC 28374-8592
Phone (910) 295-7546

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
I20160210002845 NC Practitioner - Physician Assistant 4880998806 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
001006129NCMDMedical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bladen Healthcare LLC CurrentSince Jun 21, 2016 Accepting new patients
Bladen Healthcare, LLC CurrentSince Jun 21, 2016 Accepting new patients
Bladen Healthcare LLC Past Accepting new patients
Carolina Skin Care, PA PastSince May 9, 1997 Accepting new patients
Southern Dermatology, P.a. PastSince Feb 1, 2021 Accepting new patients

Locations

107 E Dunham St
Elizabethtown, NC 28337
Phone (910) 615-3200

501 S Poplar St
Elizabethtown, NC 28337
Phone (910) 862-4043

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.

NPI Registry JSON

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

{
    "created_epoch": "1451952000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1479772800000",
    "number": "1750747895",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "125 FOX HOLLOW RD",
            "address_2": "SUITE 210",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748592",
            "telephone_number": "910-295-7546",
            "fax_number": "910-692-2831"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "125 FOX HOLLOW RD",
            "address_2": "SUITE 210",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283748592",
            "telephone_number": "910-295-7546",
            "fax_number": "910-692-2831"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAIN",
        "first_name": "JOSEPH",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-05",
        "last_updated": "2016-11-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001006129",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.