Individual provider Active NPI

Amy Marie Horton, PA-C

  • Physician Assistant
  • Garner, NC
National Provider Identifier
1881966257
Registry record updated Jun 14, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03283 Issued in NC
Practice address
510 Timber Dr E Ste 105
Garner, NC 27529-5285
Phone
(919) 787-7246
Fax
(919) 787-7247
NPI assigned
Feb 1, 2012
Last updated
Jun 14, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2021

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 0010-03283 NC Primary

Addresses

Primary practice location

510 Timber Dr E Ste 105
Garner, NC 27529-5285

Mailing address

3801 Wake Forest Rd Ste 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

Other identifiers 1

IdentifierTypeStateIssuer
1881966257MedicaidNC

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
I20140423001429 NC Practitioner - Physician Assistant 0749413946 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Wake Spine and Pain Specialists PCGroup PAC ID 2860543097, 31 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678

3801 Wake Forest Rd
Suite 210
Raleigh, NC 27609-6864
Phone (919) 787-7246

510 Timber Dr E
Suite 105
Garner, NC 27529-4689
Phone (919) 787-7246

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 892-5635

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-03283NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Spine and Pain Specialists, PC CurrentSince Jul 19, 2021 Accepting new patients

Locations

510 Timber Dr E
Ste 105
Garner, NC 27529

3801 Wake Forest Rd
Ste 210
Raleigh, NC 27609
Phone (919) 737-2034

Interoperability endpoints

  • Direct secure messaging: amy.horton@wsps.eclinicaldirectplus.com

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, 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": "1328054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1623628800000",
    "number": "1881966257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 WAKE FOREST RD STE 210",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276096864",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 TIMBER DR E STE 105",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275295285",
            "telephone_number": "919-787-7246",
            "fax_number": "919-787-7247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HORTON",
        "first_name": "AMY",
        "middle_name": "MARIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-02-01",
        "last_updated": "2021-06-14",
        "certification_date": "2021-06-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1881966257",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.