Individual provider Active NPI

Christina Marie Pawlish, NP

  • Family Nurse Practitioner
  • Mt Holly, NC
National Provider Identifier
1851029110
Registry record updated Aug 12, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5016686 Issued in NC
Practice address
305 W Charlotte Ave
Mt Holly, NC 28120
Phone
(980) 745-5433
NPI assigned
Aug 12, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 12, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5016686 NC Primary

Addresses

Primary practice location

305 W Charlotte Ave
Mt Holly, NC 28120

Mailing address

109 Old Mine Rd
Mt Holly, NC 28120-1760
Phone (910) 381-8898

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
I20220920001189 NC Practitioner - Nurse Practitioner 1153706635 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Matrix Occupational Health P.C. CurrentSince Aug 18, 2022 Accepting new patients

Locations

1110 Kildaire Farm Rd
Cary, NC 27511
Phone (919) 481-0277

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1660262400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1660262400000",
    "number": "1851029110",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 OLD MINE RD",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "281201760",
            "telephone_number": "910-381-8898"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "305 W CHARLOTTE AVE",
            "city": "MT HOLLY",
            "state": "NC",
            "postal_code": "28120",
            "telephone_number": "980-745-5433"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PAWLISH",
        "first_name": "CHRISTINA",
        "middle_name": "MARIE",
        "name_prefix": "Dr.",
        "credential": "NP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-12",
        "last_updated": "2022-08-12",
        "certification_date": "2022-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5016686",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mt Holly, NC

Sources for this page

Verify at the official NPI Registry.