Joanie Blevins Macemore, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-02665 Issued in NC

Practice address

180 Parkwood Dr
Elkin, NC 28621-2430

Phone

(336) 527-7000

NPI assigned

Jan 16, 2011

Last updated

Oct 29, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Miss Joanie Beth Blevins Former name

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

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Hugh Chatham Memorial Hospital, Inc.

  dba Clingman Medical Center

  • Family Medicine Physician
  • Ronda, NC
  • NPI 1447373063
  Medicare reassignment
• Hugh Chatham Memorial Hospital

  dba Hugh Chatham Family Medicine Wilkes

  • Family Medicine Physician
  • Hays, NC
  • NPI 1144655903
  NPD
• Hugh Chatham Memorial Hospital, Inc

  dba Tri-County Orthopedic & Sports Medicine

  • Orthopaedic Surgery Physician
  • Elkin, NC
  • NPI 1275812273
  NPD

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

{
    "created_epoch": "1295136000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603929600000",
    "number": "1831494277",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3721 FALL CREEK CHURCH RD",
            "city": "JONESVILLE",
            "state": "NC",
            "postal_code": "286429166",
            "telephone_number": "336-957-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MACEMORE",
        "first_name": "JOANIE",
        "middle_name": "BLEVINS",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-01-16",
        "last_updated": "2020-10-29",
        "certification_date": "2020-10-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02665",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOANIE",
            "last_name": "BLEVINS",
            "middle_name": "BETH",
            "prefix": "MISS",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Crystal Blevins Luffman, APRN, PMHNP
• Laura Ann Luttio, PA
• Jonathan Douglas Lyday, AGPCNP
• Jessica Lynn Mabe, FNP-BC
• Christopher James Macemore, M.S, LCAS-A
• Desiree Maclean
• Nicole J Manigault, DDS
• Jennifer Coe Marion, ANP-BC
• Wade Ashley Marion, PA
• Sydney Irene Marshall, MS, RDN, LDN

• Physician Assistant in Elkin, NC
• Providers in Elkin, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 29, 2020; 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.