Chad Allan York, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

001011830 Issued in NC

Practice address

55 Palmer Jervey Dr
Ste B
Columbus, NC 28722-8516

Phone

(828) 894-2390

Fax

(828) 894-2390

NPI assigned

Aug 16, 2011

Sex

Male

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in NC, SC2 enrollments

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 2

Specialty

Physician Assistant

Education

Un of California, Irvine, College of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Medical and Surgical Dermatology, LLCGroup PAC ID 8527969039, 4 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

89.65 of 100Reported as group

Quality

91.92

Promoting interoperability

94

Improvement activities

40

Cost

78.58

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: cayork@piedmontderm.emadirect.md

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.

• Medical & Surgical Dermatology, LLC

  • Dermatology Physician
  • Columbus, NC
  • NPI 1619194404

  SC

  Medicare reassignment Care Compare group
• Piedmont Plastic Surgery & Dermatology PA

  • Dermatology Physician
  • Gastonia, NC
  • NPI 1801832837
  Medicare reassignment
• Medical & Surgical Dermatology, LLC

  • Dermatology Physician
  • Spartanburg, SC
  • NPI 1336918408
  NPD (past)
• Twin Cities Community Hospital, Inc.

  • General Acute Care Hospital
  • Templeton, CA
  • NPI 1396778197
  NPD (past)

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

{
    "created_epoch": "1313452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1732147200000",
    "number": "1891074241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "52 HOSPITAL DR STE 3A",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "828-894-2473",
            "fax_number": "828-894-2390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 PALMER JERVEY DR",
            "address_2": "STE B",
            "city": "COLUMBUS",
            "state": "NC",
            "postal_code": "287228516",
            "telephone_number": "828-894-2390",
            "fax_number": "828-894-2390"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2430 Reidville Rd",
            "address_purpose": "LOCATION",
            "city": "Spartanburg",
            "state": "SC",
            "postal_code": "293013652",
            "country_code": "US",
            "telephone_number": "828-894-2473",
            "fax_number": "828-894-2390",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "651 Withrow Rd Ste B",
            "address_purpose": "LOCATION",
            "city": "Forest City",
            "state": "NC",
            "postal_code": "280439695",
            "country_code": "US",
            "telephone_number": "828-288-1204",
            "fax_number": "828-288-1205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "YORK",
        "first_name": "CHAD",
        "middle_name": "ALLAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-08-16",
        "last_updated": "2024-11-21",
        "certification_date": "2024-11-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001011830",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "001011830",
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "305759",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeffrey Kip Viar, DO
• Krista Wagner
• Theresa Ann Wagoner, PT
• Laura Gillie Walker
• Kymberly Setzer Wood, ARNP
• Elizabeth Lane York, MD
• Madison Zimmerman, MS, RD, LDN

• Physician Assistant in Columbus, NC
• Providers in Columbus, 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 Nov 21, 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.