Individual provider Active NPI

Sara E Wertman, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1770704439
Registry record updated Jan 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102894 Issued in NC
Practice address
301 E Wendover Ave Ste 310
Greensboro, NC 27401-1231
Phone
(336) 832-3070
NPI assigned
May 1, 2007
Last updated
Jan 5, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2022

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 102894 NC Primary

Addresses

Primary practice location

301 E Wendover Ave Ste 310
Greensboro, NC 27401-1231

Mailing address

PO Box 14878
Greensboro, NC 27415
Phone (336) 832-1100

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
I20110627000347 NC Practitioner - Physician Assistant 9830377639 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Moses Cone Medical Services IncGroup PAC ID 2769395458, 214 clinicians

Practice addresses (Care Compare)

301 E Wendover Ave
Suite 310
Greensboro, NC 27401-1231
Phone (336) 832-3070

940 Golf House CT E
Whitsett, NC 27377-9296
Phone (336) 449-9848

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102894NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince May 21, 2011 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jan 22, 2017 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jan 22, 2017 Accepting new patients
Moses Cone Medical Services, Inc. Physician Assistant CurrentSince Jan 12, 2022 Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Jan 12, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince May 21, 2011 Accepting new patients

Locations

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

301 E Wendover Ave
Ste 310
Greensboro, NC 27401
Phone (336) 275-4096

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Organizations & group practices 7

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.

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": "1177977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641340800000",
    "number": "1770704439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 14878",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "27415",
            "telephone_number": "336-832-1100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 E WENDOVER AVE STE 310",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011231",
            "telephone_number": "336-832-3070"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WERTMAN",
        "first_name": "SARA",
        "middle_name": "E",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-01",
        "last_updated": "2022-01-05",
        "certification_date": "2022-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102894",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.