Individual provider Active NPI

Barbara Ann Beck, PA

  • Physician Assistant
  • Kernersville, NC
National Provider Identifier
1790116283
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-04651 Issued in NC
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, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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 0010-04651 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

TypeEndpointUseAffiliation
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140310000892 NC Practitioner - Physician Assistant 2365672557 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Dec 16, 2013 Accepting new patients
Covenant Spine and Neurology, PLLC Physician Assistant PastSince Mar 4, 2026 Accepting new patients
Salem Neurological Center, P.a. PastSince Jan 1, 1995 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.