Active NPI
Meena Patel Dave, PHYSICIANS ASSISTANT
- Physician Assistant
- Lillington, NC
National Provider Identifier
1851421390
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 101946
- Practice address
- 350 Pine State St
Lillington, NC 27546-9428 - Phone
- (910) 893-9700
- Fax
- (910) 893-9747
- NPI assigned
- Mar 6, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 101946 | NC | Primary |
Addresses
Primary practice location
350 Pine State St
Lillington, NC 27546-9428
Mailing address
207 Kalvesta Drive
Morrisville, NC 27560
Phone (919) 656-4905
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101946 | Other | NC | PA LICENSE # |
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101946 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlantic Radiology Associates PA | Past | Accepting new patients |
Interoperability endpoints
- meenadave@napm.allscriptsdirect.net
Organizations & group practices 2
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.
-
- Specialist
- Lillington, NC
- NPI 1609907138
-
- Diagnostic Radiology Physician
- Goldsboro, NC
- NPI 1184656936
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280793600000",
"number": "1851421390",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "207 KALVESTA DRIVE",
"city": "MORRISVILLE",
"state": "NC",
"postal_code": "27560",
"telephone_number": "919-656-4905"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "350 PINE STATE ST",
"city": "LILLINGTON",
"state": "NC",
"postal_code": "275469428",
"telephone_number": "910-893-9700",
"fax_number": "910-893-9747"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAVE",
"first_name": "MEENA",
"middle_name": "PATEL",
"name_prefix": "Mrs.",
"credential": "PHYSICIANS ASSISTANT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-06",
"last_updated": "2010-08-03",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "101946",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PA LICENSE #",
"identifier": "101946",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Lillington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2010; 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.