Jerome L Pettit, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

103720 Issued in NC

Practice address

9 Walden Ridge Dr Ste 10
Asheville, NC 28803-8592

Phone

(833) 365-7246

NPI assigned

Oct 4, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Physician Assistant

Education

Other, 2002

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Premier Pain Solutions PLLCGroup PAC ID 0749573012, 11 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

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.

• Premier Pain Solutions PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Asheville, NC
  • NPI 1710336243
  Medicare reassignment Care Compare group
• October Road Inc.

  • Community/Behavioral Health Agency
  • Asheville, NC
  • NPI 1144375767
  Medicare reassignment NPD
• Summit Health Psychiatry, PC

  • Psychiatry Physician
  • Hendersonville, NC
  • NPI 1639792245
  NPD (past) Authorized official
• October Road Inc

  • Community/Behavioral Health Agency
  • Jacksonville, NC
  • NPI 1376389940
  NPD
• Premier Pain Solutions PLLC

  • Pain Medicine (Anesthesiology) Physician
  • Columbus, NC
  • NPI 1366923898
  NPD

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

{
    "created_epoch": "1159920000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1775606400000",
    "number": "1861587560",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 602229",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282602229",
            "telephone_number": "828-894-3718",
            "fax_number": "828-894-3806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9 WALDEN RIDGE DR STE 10",
            "city": "ASHEVILLE",
            "state": "NC",
            "postal_code": "288038592",
            "telephone_number": "833-365-7246"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5710 Oleander Dr Ste 201",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034722",
            "country_code": "US",
            "telephone_number": "833-365-7246",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PETTIT",
        "first_name": "JEROME",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-04",
        "last_updated": "2026-04-08",
        "certification_date": "2026-04-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103720",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RR PROVIDER NUMB",
            "identifier": "970030947",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1861587560",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0816PA",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8102639",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "27671",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Susan Pethel, MPT
• Andrea G Petrone, FNP
• Julia Felicia Petteway, MS, CNM, WHNP-BC
• David Charles Pettigrew, M.D.
• Sarah Christine Pettinelli
• Scott Miller Petty, MD
• Sherwin B. Pevaroff, DDS, MS.
• Peyton Kinnaird, Lcmhcs PA
• Jessica Blake Peyton, RD, LDN
• Brandon Kraker Pfeffer, M.D.

• Physician Assistant in Asheville, NC
• Providers in Asheville, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 2026; 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.