Individual provider Active NPI

Julie Wimmer File, PA-C

  • Physician Assistant
  • Mocksville, NC
National Provider Identifier
1831175157
Registry record updated Apr 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
102787 Issued in NC
Practice address
154 Government Center Dr
Mocksville, NC 27028-6299
Phone
(336) 753-6750
Fax
(336) 450-1744
NPI assigned
Dec 19, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 18, 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 102787 NC Primary

Addresses

Primary practice location

154 Government Center Dr
Mocksville, NC 27028-6299

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

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
I20101220001084 NC Practitioner - Physician Assistant 8820286784 Reassigns benefits to 7 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

105 Hanes Square Cir
Winston Salem, NC 27103-5514
Phone (336) 441-5569

1977 Cotton Grove Rd
Lexington, NC 27292-5721
Phone (336) 443-6041

2452 Fairlawn CT
Winston Salem, NC 27106-3884
Phone (336) 281-5965

2635 Lawndale Dr
Greensboro, NC 27408-4802
Phone (336) 867-4310

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

50 Miller St
Suite C
Winston Salem, NC 27104-4206
Phone (336) 310-5535

5870 Samet Dr
High Point, NC 27265-3646
Phone (336) 803-7311

910 E Innes St
Salisbury, NC 28144-4638
Phone (844) 266-8268

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102787NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Oct 18, 2023 Accepting new patients
Gaston Family Health Services, Inc. CurrentSince Sep 13, 2021 Accepting new patients
American Current Care of North Carolina, P.C. CurrentSince Jul 19, 2023 Accepting new patients
Carolina Medicorp Enterprises LLC CurrentSince Oct 18, 2023 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Sep 13, 2021 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

4221 Tuckaseegee Rd
Charlotte, NC 28208
Phone (704) 392-4057

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

154 Government Center Dr
Mocksville, NC 27028
Phone (336) 477-2233

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

105 Hanes Square Cir
Winston Salem, NC 27103
Phone (336) 441-5569

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1134950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650240000000",
    "number": "1831175157",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "154 GOVERNMENT CENTER DR",
            "city": "MOCKSVILLE",
            "state": "NC",
            "postal_code": "270286299",
            "telephone_number": "336-753-6750",
            "fax_number": "336-450-1744"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FILE",
        "first_name": "JULIE",
        "middle_name": "WIMMER",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-12-19",
        "last_updated": "2022-04-18",
        "certification_date": "2022-04-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mocksville, NC

Sources for this page

Verify at the official NPI Registry.