James William Cleary, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-07711 Issued in NC

Practice address

103 Cox Blvd
Goldsboro, NC 27534-9478

Phone

(919) 734-8440

Fax

(919) 734-8440

NPI assigned

Nov 14, 2017

Last updated

Jan 24, 2024By the provider in NPPES

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 2

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

Nova Southeastern College of Osteo Medicine, 2017

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Waynesborough Ophthalmology, P.a.Group PAC ID 6103961438, 8 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

91.73 of 100Reported as group

Quality

95.68

Improvement activities

40

Cost

78.19

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• Direct secure messaging: jcleary@wbo.emadirect.md

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.

• Waynesborough Ophthalmology, P.a.

  • Ophthalmology Physician
  • Goldsboro, NC
  • NPI 1124083167
  Medicare reassignment Care Compare group
• Goldsboro Emergency Medical Specialists, Inc.

  • Emergency Medicine Physician
  • Goldsboro, NC
  • NPI 1164418232
  Medicare reassignment

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

{
    "created_epoch": "1510617600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1706054400000",
    "number": "1871006775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-9387"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 COX BLVD",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349478",
            "telephone_number": "919-734-8440",
            "fax_number": "919-734-8440"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1317 N Brightleaf Blvd Ste D",
            "address_purpose": "LOCATION",
            "city": "Smithfield",
            "state": "NC",
            "postal_code": "275777267",
            "country_code": "US",
            "telephone_number": "919-734-8440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CLEARY",
        "first_name": "JAMES",
        "middle_name": "WILLIAM",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-11-14",
        "last_updated": "2024-01-24",
        "certification_date": "2024-01-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-07711",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1871006775",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC MEDICAL LICENSE",
            "identifier": "0010-07711",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Victoria Cividino, MD
• Badie T. Clark III, MD
• Katlyn Ruth Clark, PHARM.D.
• Stephanie Nicole Clark, CRNA
• Donald Keith Clarke, MD
• Clientfirst of NC, LLC (ClientFirst Behavioral Health)
• Clientfirst of NC, LLC
• Alicia Michelle Cline
• CNC / Access, Inc. (All Ways Caring HomeCare)
• CNC Access Inc

• Physician Assistant in Goldsboro, NC
• Providers in Goldsboro, 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 Jan 24, 2024; 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.