Active NPI
David C Propst, PA-C
- Medical Physician Assistant
- Wilson, NC
National Provider Identifier
1790923308
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-01705
- Practice address
- 3302 Nash St N
Wilson, NC 27896-1232 - Phone
- (252) 237-5237
- Fax
- (252) 234-9932
- NPI assigned
- Feb 4, 2009
- Last updated
- May 10, 2016
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 0010-01705 | NC | Primary |
Addresses
Primary practice location
3302 Nash St N
Wilson, NC 27896-1232
Mailing address
3302 Nash St N
Wilson, NC 27896-1232
Phone (252) 237-5237
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5902803 | Medicaid | NC |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
101 Winding Wood Dr
Clayton, NC 27520-4493
Phone (919) 553-1911
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-01705 | NC | MD | Medical Physician Assistant |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1233705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1462838400000",
"number": "1790923308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3302 NASH ST N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961232",
"telephone_number": "252-237-5237",
"fax_number": "252-234-9932"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3302 NASH ST N",
"city": "WILSON",
"state": "NC",
"postal_code": "278961232",
"telephone_number": "252-237-5237",
"fax_number": "252-234-9932"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PROPST",
"first_name": "DAVID",
"middle_name": "C",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-02-04",
"last_updated": "2016-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-01705",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5902803",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
- Proactive Therapy of North Carolina Inc (NovaCare Rehabilitation)
- Ashley Proctor, PHARMD
- Progressive Healthcare & Counseling Services Inc.
- Prolific Anesthesia Services, PLLC
- Prophetice Vision Care
- Madison Rose Propst, LCSWA
- Psychological Medicine Clinic PLLC
- Psychological Mobile Services, PA
- Sonya Purushothaman, M.D.
- Amanda Suydam Purvis, LCSWA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2016; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.