Individual provider Active NPI

Sandra Jane Setzer, PA-C

  • Surgical Physician Assistant
  • Greensboro, NC
National Provider Identifier
1902001001
Registry record updated Mar 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgical Physician AssistantTaxonomy code 363AS0400X
License
0010-10490 Issued in NC
Practice address
1126 N Church St Ste 103
Greensboro, NC 27401-1035
Phone
(336) 663-4900
Fax
(336) 663-4920
NPI assigned
Jun 19, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10490 NC
Surgical Physician Assistant 363AS0400X 003106 GA
Surgical Physician Assistant 363AS0400X 0010-10490 NC Primary

Addresses

Primary practice location

1126 N Church St Ste 103
Greensboro, NC 27401-1035

Mailing address

1126 N Church St Ste 103
Greensboro, NC 27401-1035
Phone (336) 663-4900

Other practice location 1

2704 Henry St
Greensboro, NC 27405-3633
Phone (336) 663-5700

Other names 1

  • Sandra S Daniell Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ssetzer577873@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, NC2 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

Enrollment IDStateProvider typePAC IDDetails
I20050426001368 GA Practitioner - Physician Assistant 4688613979 Reassigns benefits to 1 organization
I20201216002489 NC Practitioner - Physician Assistant 4688613979 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-10490NCMDPhysician Assistant
003106GAMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jan 28, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Jan 28, 2024 Accepting new patients
Moses Cone Physician Services, Inc CurrentSince Dec 7, 2020 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 7, 2020 Accepting new patients

Locations

2704 Henry St
Greensboro, NC 27405
Phone (336) 621-3777

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1126 N Church St
Ste 103
Greensboro, NC 27401
Phone (336) 379-0941

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

510 N Elam Ave
Ste 302
Greensboro, NC 27403
Phone (336) 297-2271

Organizations & group practices 6

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": "1182211200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709856000000",
    "number": "1902001001",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011035",
            "telephone_number": "336-663-4900",
            "fax_number": "336-663-4920"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1126 N CHURCH ST STE 103",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011035",
            "telephone_number": "336-663-4900",
            "fax_number": "336-663-4920"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2704 Henry St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274053633",
            "country_code": "US",
            "telephone_number": "336-663-5700",
            "fax_number": "336-663-5734",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SETZER",
        "first_name": "SANDRA",
        "middle_name": "JANE",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-19",
        "last_updated": "2024-03-08",
        "certification_date": "2024-03-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10490",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "GA",
            "license": "003106",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "0010-10490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ssetzer577873@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Messaging",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1126 N Church St Ste 103",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011035",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "SANDRA",
            "last_name": "DANIELL",
            "middle_name": "S",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.