Angela M McClung, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

102620 Issued in GA

Practice address

900 Old Winston Rd
Ste 222
Kernersville, NC 27284-8119

Phone

(336) 992-1234

Fax

(336) 993-9963

NPI assigned

Oct 11, 2006

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• The Moses H Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1356372064

  NC, Physician Assistant

  Medicare reassignment NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Internal Medicine Physician
  • Greensboro, NC
  • NPI 1013265909

  NC

  Medicare reassignment NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Family Medicine Physician
  • High Point, NC
  • NPI 1801137435

  NC

  Medicare reassignment
• The Moses H Cone Memorial Hospital Operating Corporation

  • Community/Retail Pharmacy
  • Eden, NC
  • NPI 1861222507
  NPD
• The Moses H. Cone Memorial Hospital Operating Corporation

  • Family Medicine Physician
  • Greensboro, NC
  • NPI 1487116968
  NPD
• Cornerstone Health Care, PA

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1558613901
  NPD (past)
• Laurel Creek Family Medicine, PLLC

  • Family Medicine Physician
  • Kernersville, NC
  • NPI 1487867347
  NPD (past)

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

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1237420800000",
    "number": "1831288752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "SUITE 222",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848119",
            "telephone_number": "336-992-1234",
            "fax_number": "336-993-9963"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 OLD WINSTON RD",
            "address_2": "STE 222",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272848119",
            "telephone_number": "336-992-1234",
            "fax_number": "336-993-9963"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLUNG",
        "first_name": "ANGELA",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-11",
        "last_updated": "2009-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102620",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "GA",
            "license": "102620",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Jump Matthews
• Brian Mattingly, PSYD
• Carrie Beth May, PSYD
• Carmen Christina Mayo, PA-C
• Hannah McBride, BCBA, MS, BA
• Paris McCorkle
• Kerrigan McCormack, BCBA
• Sheri McCormack, DDS
• Denise McCray-Jones
• Joshua Lee McDaniel, NP

• All providers in Kernersville, NC
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2009; 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.

Verify at the official NPI Registry.