Individual provider Active NPI

Neisa Hamrick

  • Physician Assistant
  • Shelby, NC
National Provider Identifier
1861935280
Registry record updated Apr 25, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06882 Issued in NC
Practice address
200 S Post Rd
Shelby, NC 28152-6269
Phone
(980) 484-5100
NPI assigned
Dec 2, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-06882 NC Primary

Addresses

Primary practice location

200 S Post Rd
Shelby, NC 28152-6269

Mailing address

601 Leander St
Shelby, NC 28152-6439

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
I20170322002146 NC Practitioner - Physician Assistant 4880979491 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
County of Cleveland North CarolinaGroup PAC ID 1850209545, 7 clinicians

Practice addresses (Care Compare)

200 S Post Rd
Shelby, NC 28152-6269
Phone (980) 484-5100

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
County of Cleveland North Carolina CurrentSince Jan 9, 2017 Accepting new patients
County of Cleveland North Carolina Current Accepting new patients
County of Cleveland North Carolina CurrentSince Jan 9, 2017 Accepting new patients

Locations

200 S Post Rd
Shelby, NC 28152
Phone (980) 484-5100

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1480636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1493078400000",
    "number": "1861935280",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 LEANDER ST",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S POST RD",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281526269",
            "telephone_number": "980-484-5100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HAMRICK",
        "first_name": "NEISA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-12-02",
        "last_updated": "2017-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Shelby, NC

Sources for this page

Verify at the official NPI Registry.