NPIMap

Individual provider Active NPI

Julia Niemi, PA-C

  • Medical Physician Assistant
  • Fayetteville, NC
National Provider Identifier
1750807186
Registry record updated Mar 17, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2409 Murchison Rd # B
Fayetteville, NC 28301-3519
Phone
(910) 488-4525
NPI assigned
Aug 17, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2018

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 Primary

Addresses

Primary practice location

2409 Murchison Rd # B
Fayetteville, NC 28301-3519

Mailing address

PO Box 2291
Buies Creek, NC 27506-2291

Other practice location 1

7118 Main St
Wade, NC 28395-9749
Phone (910) 483-6694

Other identifiers 1

IdentifierTypeStateIssuer
0010-07571OtherNCMEDICAL LICENSE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20181204003251 NC Practitioner - Physician Assistant 3577807411 Reassigns benefits to 1 organization

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

Practice addresses (Care Compare)

2313 Murchison Rd
Fayetteville, NC 28301-3517
Phone 91048366947057

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Stedman-Wade Health Services, Inc. CurrentSince Sep 28, 2017 Accepting new patients

Locations

2313 Murchison Rd
Fayetteville, NC 28301
Phone (910) 483-6694

Interoperability endpoints

  • Direct secure messaging: julia.niemi.1@7912.direct.athenahealth.com

Organizations & group practices 1

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.

Hospital & facility affiliations 14

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1502928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1750807186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2291",
            "city": "BUIES CREEK",
            "state": "NC",
            "postal_code": "275062291"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2409 MURCHISON RD # B",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013519",
            "telephone_number": "910-488-4525"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "7118 Main St",
            "address_purpose": "LOCATION",
            "city": "Wade",
            "state": "NC",
            "postal_code": "283959749",
            "country_code": "US",
            "telephone_number": "910-483-6694",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NIEMI",
        "first_name": "JULIA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-17",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "0010-07571",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.