Individual provider Active NPI

Rex Ulysses Noble, PA-C

  • Physician Assistant
  • Mount Airy, NC
National Provider Identifier
1831381805
Registry record updated Jun 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-07990 Issued in NC
Practice address
314 S South St
Mount Airy, NC 27030-4491
Phone
(336) 719-0011
Fax
(336) 719-0714
NPI assigned
Aug 14, 2007
Last updated
Jun 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgical Physician Assistant 363AS0400X 0010-7990 NC
Surgical Physician Assistant 363AS0400X PA9104281 FL
Physician Assistant 363A00000X 0010-07990 NC Primary

Addresses

Primary practice location

314 S South St
Mount Airy, NC 27030-4491

Mailing address

PO Box 1267
Mount Airy, NC 27030-1267
Phone (336) 719-7112

Other practice location 1

2165 Medical Park Dr
Hickory, NC 28602
Phone (828) 324-2800

Other practice location 2

2165 Medical Park Dr
Hickory, NC 28602
Phone (828) 324-2800

Other identifiers 1

IdentifierTypeStateIssuer
1831381805MedicaidNC

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
I20180608001054 NC Practitioner - Physician Assistant 5395826325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2007
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

PO Box
Suite 1267
Mount Airy, NC 27030-1267

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
73.56 of 100Reported as group
Quality
41.89
Promoting interoperability
100
Improvement activities
40
Cost
69.96

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-07990NCMDPhysician Assistant
PA9104281FLMDSurgical Physician Assistant
0010-7990NCMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Brevard Emergency Services Past Accepting new patients
Northern Hospital of Surry County Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: rex.noblepa.p1@direct.thespinecenter.nextgenshare.com

Organizations & group practices 3

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": "1187049600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1750636800000",
    "number": "1831381805",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "336-719-7112",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "314 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304491",
            "telephone_number": "336-719-0011",
            "fax_number": "336-719-0714"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2165 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "28602",
            "country_code": "US",
            "telephone_number": "828-324-2800",
            "fax_number": "828-294-9162",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2165 Medical Park Dr",
            "address_purpose": "LOCATION",
            "city": "Hickory",
            "state": "NC",
            "postal_code": "28602",
            "country_code": "US",
            "telephone_number": "828-324-2800",
            "fax_number": "828-294-9162",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NOBLE",
        "first_name": "REX",
        "middle_name": "ULYSSES",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-08-14",
        "last_updated": "2025-06-23",
        "certification_date": "2025-06-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-7990",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9104281",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07990",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1831381805",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.