Individual provider Active NPI

Julie Beth Bain, PA

  • Physician Assistant
  • Oak Ridge, NC
National Provider Identifier
1831279561
Registry record updated Feb 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103344 Issued in NC
Practice address
1510 NC Highway 68 N
Oak Ridge, NC 27310-9733
Phone
(336) 644-0111
Fax
(336) 268-3119
NPI assigned
Oct 17, 2006
Last updated
Feb 12, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2025

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 103344 NC Primary

Addresses

Primary practice location

1510 NC Highway 68 N
Oak Ridge, NC 27310-9733

Mailing address

5350 S Main St
Winston Salem, NC 27107-9174
Phone (336) 784-0505

Other practice location 1

5350 S Main St
Winston Salem, NC 27107-9174
Phone (336) 784-0505

Other names 1

  • Julie Beth Morris Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address Julie.Bain@eaglep.eclinicaldirectplus.com

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
I20041113000231 NC Practitioner - Physician Assistant 3072577667 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1210 New Garden Rd
Greensboro, NC 27410-2721
Phone (336) 294-6190

1510 NC Hwy 68 N
Oak Ridge, NC 27310-9733
Phone (336) 644-0111

301 E Wendover Ave
Suite 215
Greensboro, NC 27401-1207
Phone (336) 379-1156

301 E Wendover Ave
Suite 300
Greenboro, NC 27401-1231
Phone (336) 268-3380

5701 W Friendly Aveneue
Greensboro, NC 27410-4112
Phone (336) 274-6515

5921 W Friendly Ave
Greensboro, NC 27410-3268

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Eagle Physicians and Associates PA CurrentSince Apr 7, 2025 Accepting new patients
Eagle Physicians and Associates PA CurrentSince Apr 7, 2025 Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

1510 NC Highway 68 N
Oak Ridge, NC 27310
Phone (336) 644-0111

Interoperability endpoints

  • Direct secure messaging: julie.bain.1@11229.direct.athenahealth.com
  • Direct secure messaging: julie.bain@eaglep.eclinicaldirectplus.com

Organizations & group practices 5

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739318400000",
    "number": "1831279561",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5350 S MAIN ST",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271079174",
            "telephone_number": "336-784-0505",
            "fax_number": "336-784-5031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 NC HIGHWAY 68 N",
            "city": "OAK RIDGE",
            "state": "NC",
            "postal_code": "273109733",
            "telephone_number": "336-644-0111",
            "fax_number": "336-268-3119"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5350 S Main St",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271079174",
            "country_code": "US",
            "telephone_number": "336-784-0505",
            "fax_number": "336-784-5031",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BAIN",
        "first_name": "JULIE",
        "middle_name": "BETH",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-17",
        "last_updated": "2025-02-12",
        "certification_date": "2025-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103344",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Julie.Bain@eaglep.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "1510 Nc Highway 68 N",
            "city": "Oak Ridge",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273109733",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JULIE",
            "last_name": "MORRIS",
            "middle_name": "BETH",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Oak Ridge, NC

Sources for this page

Verify at the official NPI Registry.