Individual provider Active NPI

Olivia Katherine Pantano, PAC

  • Physician Assistant
  • Asheville, NC
National Provider Identifier
1770206898
Registry record updated Sep 23, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-14504 Issued in NC
Practice address
123 Hendersonville Rd
Asheville, NC 28803-2868
Phone
(828) 257-4730
Fax
(828) 232-2942
NPI assigned
Sep 23, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 23, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-14504 NC Primary

Addresses

Primary practice location

123 Hendersonville Rd
Asheville, NC 28803-2868

Mailing address

123 Hendersonville Rd
Asheville, NC 28803-2868
Phone (828) 257-4730

Other practice location 1

1542 Cane Creek Rd
Fletcher, NC 28732-7423
Phone (828) 628-8250

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20241211001657 NC Practitioner - Physician Assistant 1557897725 Reassigns benefits to 1 organization
I20250626002872 GA Practitioner - Physician Assistant 1557897725 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Emory University School of Medicine, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Area Health Education Center IncGroup PAC ID 0143206599, shared by 15 NPIs, 156 clinicians

Practice addresses (Care Compare)

1542 Cane Creek Rd
Fletcher, NC 28732-7423
Phone (828) 628-8250

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-14504NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Grady Memorial Hospital Corporation CurrentSince Mar 24, 2024 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 15, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 20, 2025 Accepting new patients
Henderson County Hospital Corporation CurrentSince Sep 15, 2025 Accepting new patients
Grady Memorial Hospital Corporation CurrentSince Apr 20, 2025 Accepting new patients

Locations

80 Jesse Hill Jr Dr SE
Atlanta, GA 30303
Phone (404) 616-4370

80 Jesse Hill Jr Dr SE
#26019
Atlanta, GA 30303
Phone (404) 616-2219

21 Turtle Creek Dr
Ste 100
Asheville, NC 28803
Phone (828) 435-8394

800 N Justice St
Hendersonvlle, NC 28791
Phone (828) 696-1000

Interoperability endpoints

  • Direct secure messaging: oliviapantano@mahec.allscriptsdirect.net

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1663891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727049600000",
    "number": "1770206898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-232-2942"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 HENDERSONVILLE RD",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288032868",
            "telephone_number": "828-257-4730",
            "fax_number": "828-232-2942"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1542 Cane Creek Rd",
            "address_purpose": "LOCATION",
            "city": "Fletcher",
            "state": "NC",
            "postal_code": "287327423",
            "country_code": "US",
            "telephone_number": "828-628-8250",
            "fax_number": "828-628-8633",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PANTANO",
        "first_name": "OLIVIA",
        "middle_name": "KATHERINE",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-09-23",
        "last_updated": "2024-09-23",
        "certification_date": "2024-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-14504",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheville, NC

Sources for this page

Verify at the official NPI Registry.