Individual provider Active NPI

Austin Moore Dykes

  • Physician Assistant
  • Candler, NC
National Provider Identifier
1861040206
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13522 Issued in NC
Practice address
511 Smoky Park Hwy
Candler, NC 28715-8613
Phone
(828) 365-1088
NPI assigned
Aug 28, 2019
Last updated
Sep 22, 2023By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA61226812 WA
Physician Assistant 363A00000X 0010-13522 NC Primary

Addresses

Primary practice location

511 Smoky Park Hwy
Candler, NC 28715-8613

Mailing address

4450 E Southern Ave Apt 242
Mesa, AZ 85206-2630
Phone (229) 344-8953

Other practice location 1

3130 Squalicum Pkwy
Bellingham, WA 98225-1940
Phone (360) 671-4509

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
I20240304001969 NC Practitioner - Physician Assistant 0648661207 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
At Still Un of HLTH Sciences, Col of Osteo Med, Mesa, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

160 Hendersonville Rd
Asheville, NC 28803-2680
Phone (828) 210-2835

511 Smokey Park Hwy
Candler, NC 28715-8613
Phone (828) 365-1088

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

825 Spartanburg Hwy
Suite 17
Hendersonville, NC 28792-4770
Phone (828) 233-1664

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-13522NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed Primary Care, P.C. Past Accepting new patients
Urgent Cares of America North Carolina Inc PastSince Sep 24, 2023 Accepting new patients

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1566950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1861040206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4450 E SOUTHERN AVE APT 242",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852062630",
            "telephone_number": "229-344-8953"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "511 SMOKY PARK HWY",
            "city": "CANDLER",
            "state": "NC",
            "postal_code": "287158613",
            "telephone_number": "828-365-1088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3130 Squalicum Pkwy",
            "address_purpose": "LOCATION",
            "city": "Bellingham",
            "state": "WA",
            "postal_code": "982251940",
            "country_code": "US",
            "telephone_number": "360-671-4509",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYKES",
        "first_name": "AUSTIN",
        "middle_name": "MOORE",
        "name_prefix": "Mr.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-08-28",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA61226812",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13522",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Candler, NC

Sources for this page

Verify at the official NPI Registry.