Roy G. Waronsky, P.A.

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

102512 Issued in NC

Practice address

400 E Statesville Ave Ste 20
Mooresville, NC 28115-2581

Phone

(704) 360-8486

Fax

(704) 230-4674

NPI assigned

Apr 27, 2006

Last updated

Sep 1, 2021By the provider in NPPES

Sex

Male

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

HHS exclusion list flag

Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.

Credentials

Physician Assistant

State licenses

Practice roles

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.

• Carolina Family Medicine & Urgent Care PA

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1740499714
  NPD (past)

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

{
    "created_epoch": "1146096000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1630454400000",
    "number": "1841257508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152588",
            "telephone_number": "704-360-8486",
            "fax_number": "704-230-4674"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 E STATESVILLE AVE STE 20",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281152581",
            "telephone_number": "704-360-8486",
            "fax_number": "704-230-4674"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 W Main Street",
            "address_purpose": "LOCATION",
            "city": "Yadkinville",
            "state": "NC",
            "postal_code": "27055",
            "country_code": "US",
            "telephone_number": "336-677-3900",
            "fax_number": "336-677-3909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WARONSKY",
        "first_name": "ROY",
        "middle_name": "G.",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-27",
        "last_updated": "2021-09-01",
        "certification_date": "2021-09-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "102512",
            "primary": true
        },
        {
            "code": "207QA0401X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Addiction Medicine",
            "state": "NC",
            "license": "102512",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Thienkim Nguyen Walters, PA-C
• Katlyn Ward, MS CCC-SLP
• Lindsay Ward, QP
• Taeh Allison Ward, PH.D.
• Katherine Renee Warner, MA, CCC-SLP
• Deborah Parry Warren, MD
• Sonya Warren, M.A.,NCC
• Thomas Brent Warren, MD
• Tamera N Watkins, OT
• Ameelyah Watson

• Medical Physician Assistant in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 1, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; OIG LEIE.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.