Active NPI
Barbara Ann Beck, PA
- Physician Assistant
- Kernersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-04651
- Practice address
- 1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198 - Phone
- (336) 564-4959
- NPI assigned
- Dec 9, 2013
- Last updated
- Oct 25, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-04651 | NC | Primary |
Addresses
Primary practice location
1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Mailing address
3333 Brookview Hills Blvd Ste 104
Wake Forest Baptist Emer Dept - Greensboro
Winston Salem, NC 27103-5661
Phone (336) 760-3007
Other practice location 1
3333 Brookview Hills Blvd Ste 104
Winston Salem, NC 27103-5661
Phone (336) 760-3007
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | bbeck261219@direct.novanthealth.org |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest University Health Sciences | Current | Accepting new patients | |
| Covenant Spine and Neurology, PLLC | Physician Assistant | Past | Accepting new patients |
| Salem Neurological Center, P.a. | Past | Accepting new patients |
Locations
1814 Westchester Dr
Ste 203C
High Point, NC 27262
3333 Brookview Hills Blvd
Ste 104
Winston Salem, NC 27103
Phone (336) 760-3007
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Interoperability endpoints
- bbeck261219@direct.novanthealth.org
Organizations & group practices 4
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.
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
-
- Family Medicine Physician
- Concord, NC
- NPI 1548759392
-
- Neurological Surgery Physician
- Kernersville, NC
- NPI 1265150494
Physician Assistant
-
- Non-Pharmacy Dispensing Site
- Winston Salem, NC
- NPI 1447240320
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1386547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1603584000000",
"number": "1790116283",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3333 BROOKVIEW HILLS BLVD STE 104",
"address_2": "WAKE FOREST BAPTIST EMER DEPT - GREENSBORO",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271035661",
"telephone_number": "336-760-3007"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 101",
"city": "KERNERSVILLE",
"state": "NC",
"postal_code": "272847198",
"telephone_number": "336-564-4959"
}
],
"practiceLocations": [
{
"address_1": "3333 Brookview Hills Blvd Ste 104",
"address_purpose": "LOCATION",
"city": "Winston Salem",
"state": "NC",
"postal_code": "271035661",
"country_code": "US",
"telephone_number": "336-760-3007",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BECK",
"first_name": "BARBARA",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-12-09",
"last_updated": "2020-10-25",
"certification_date": "2020-09-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-04651",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "bbeck261219@direct.novanthealth.org",
"affiliation": "N",
"address_1": "3333 Brookview Hills Blvd Ste 104",
"city": "Winston Salem",
"state": "NC",
"country_code": "US",
"postal_code": "271035661",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kernersville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.