Autumn Eau Claire Newberry

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

5022152 Issued in NC

Practice address

103 Gossman Rd
Southern Pines, NC 28387-2225

Phone

(800) 226-8874

NPI assigned

Feb 19, 2024

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

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

Specialty

Nurse Practitioner

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

QSM-NC PAGroup PAC ID 1052695798, 17 clinicians

Practice addresses (Care Compare)

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 and National Provider Directory roles.

• QSM-NC, PA

  • Surgery Physician
  • Durham, NC
  • NPI 1881136893
  Medicare reassignment Care Compare group NPD
• Alignmed Medical Group NC PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Lexington, NC
  • NPI 1083447890
  Medicare reassignment NPD
• Alignmed Partners, PC

  • Geriatric Medicine (Internal Medicine) Physician
  • Gardendale, AL
  • NPI 1881109452

  NC

  Medicare reassignment NPD
• Geps Physician Group of North Carolina PC

  • Adult Health Nurse Practitioner
  • Salisbury, MD
  • NPI 1831527308

  NC

  Medicare reassignment NPD
• QSM-Ky, Inc

  • General Practice Physician
  • Hollywood, FL
  • NPI 1114539202
  NPD (past)

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

{
    "created_epoch": "1708300800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748563200000",
    "number": "1831954932",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 GOSSMAN RD",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283872225",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEWBERRY",
        "first_name": "AUTUMN",
        "middle_name": "EAU CLAIRE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-19",
        "last_updated": "2025-05-30",
        "certification_date": "2025-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5022152",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Solange Robin Neill, COTA/L
• McKenzie Reagan Nelson, MS, RD, LDN
• Nancy Campbell Nelson, M.A.CCC-SLP
• Jessica Nettnin
• New Town Center Pharmacy Inc
• Myroslava Niameshchuk
• Nicole Sutton Behavioral Therapy
• Kimberly Marie Niemeyer
• North Carolina CVS Pharmacy LLC
• Nourished Roots Therapy Services

• Nurse Practitioner in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2025; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.