Individual provider Active NPI

Ana Cristina Nicholls, PA-C

  • Physician Assistant
  • Granite Falls, NC
National Provider Identifier
1902130081
Registry record updated Dec 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-13557 Issued in NC
Practice address
160 River Bend Dr Ste C
Granite Falls, NC 28630-9390
Phone
(828) 572-7305
Fax
(828) 330-0950
NPI assigned
Sep 23, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 13, 2023

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X PA9103094 FL
Surgical Physician Assistant 363AS0400X PA9103094 FL
Physician Assistant 363A00000X 0010-13557 NC Primary

Addresses

Primary practice location

160 River Bend Dr Ste C
Granite Falls, NC 28630-9390

Mailing address

160 River Bend Dr Ste C
Granite Falls, NC 28630-9390
Phone (828) 572-7305

Other practice location 1

3143 NE 163rd St
North Miami Beach, FL 33160-4463
Phone (305) 343-1365

Other practice location 2

4400 Sheridan St
Hollywood, FL 33021-3514
Phone (954) 963-3500

Other practice location 3

6141 Sunset Driver
Suite 403
South Miami, FL 33143
Phone (305) 663-8877

Other names 1

  • Ana Cristina Lohr Former name

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
I20231115001437 NC Practitioner - Physician Assistant 8820035397 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2004
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians

Practice addresses (Care Compare)

2165 Medical Park Dr
Hickory, NC 28602-8809
Phone (828) 324-2800

232 Sharon Ave NW
Lenoir, NC 28645-4326
Phone (828) 758-7091

503 E Parker Rd
Morganton, NC 28655-5104
Phone (828) 437-6500

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
89.07 of 100Reported as group
Quality
85.94
Promoting interoperability
100
Improvement activities
40
Cost
77.63

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
PA9103094FLMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Emergeortho PA Physician Assistant CurrentSince Sep 15, 2023 Accepting new patients
PA Surgical Inc Surgical CurrentSince Jun 1, 2023 Accepting new patients
Health Consulting Associates LLC CurrentSince Jun 1, 2023 Accepting new patients
Emergeortho PA CurrentSince Sep 15, 2023 Accepting new patients

Locations

3143 NE 163rd St
North Miami Beach, FL 33160
Phone (305) 343-1365

160 River Bend Dr
Ste C
Granite Falls, NC 28630
Phone (828) 572-7305

915 Tate Blvd SE
Ste 190
Hickory, NC 28602

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

Interoperability endpoints

  • Direct secure messaging: cristina.nicholls.1@847.direct.athenahealth.com

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.

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": "1253664000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1702425600000",
    "number": "1902130081",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE C",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309390",
            "telephone_number": "828-572-7305",
            "fax_number": "828-330-0950"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "160 RIVER BEND DR STE C",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286309390",
            "telephone_number": "828-572-7305",
            "fax_number": "828-330-0950"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3143 NE 163rd St",
            "address_purpose": "LOCATION",
            "city": "North Miami Beach",
            "state": "FL",
            "postal_code": "331604463",
            "country_code": "US",
            "telephone_number": "305-343-1365",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4400 Sheridan St",
            "address_purpose": "LOCATION",
            "city": "Hollywood",
            "state": "FL",
            "postal_code": "330213514",
            "country_code": "US",
            "telephone_number": "954-963-3500",
            "fax_number": "954-964-2049",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6141 Sunset Driver",
            "address_2": "Suite 403",
            "address_purpose": "LOCATION",
            "city": "South Miami",
            "state": "FL",
            "postal_code": "33143",
            "country_code": "US",
            "telephone_number": "305-663-8877",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NICHOLLS",
        "first_name": "ANA",
        "middle_name": "CRISTINA",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-23",
        "last_updated": "2023-12-13",
        "certification_date": "2023-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "FL",
            "license": "PA9103094",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9103094",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-13557",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANA",
            "last_name": "LOHR",
            "middle_name": "CRISTINA",
            "credential": "PA-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Granite Falls, NC

Sources for this page

Verify at the official NPI Registry.