Patricia Lynette Nash, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-12792 Issued in NC

Practice address

119 Gatling St
Williamston, NC 27892-2560

Phone

(800) 226-8874

NPI assigned

Nov 7, 2018

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in NC, VA2 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

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

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.

• QSM-NC, PA

  • Surgery Physician
  • Durham, NC
  • NPI 1881136893
  Medicare reassignment
• QSM-VA Inc

  • Surgery Physician
  • Galax, VA
  • NPI 1861182537
  Medicare reassignment
• QSM-Ky, Inc

  • General Practice Physician
  • Hollywood, FL
  • NPI 1114539202

  Physician Assistant

  NPD (past)

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

{
    "created_epoch": "1541548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1705968000000",
    "number": "1902374044",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3800 S OCEAN DR STE 209",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330192915",
            "telephone_number": "800-226-8874",
            "fax_number": "877-366-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 GATLING ST",
            "city": "WILLIAMSTON",
            "state": "NC",
            "postal_code": "278922560",
            "telephone_number": "800-226-8874"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1084 US Highway 64 E",
            "address_purpose": "LOCATION",
            "city": "Plymouth",
            "state": "NC",
            "postal_code": "279629215",
            "country_code": "US",
            "telephone_number": "800-226-8874",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "PATRICIA",
        "middle_name": "LYNETTE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-11-07",
        "last_updated": "2024-01-23",
        "certification_date": "2024-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "VA",
            "license": "0110-006464",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-12792",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1184808586",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Myeyedr Optometry of North Carolina, PLLC
• New Beginnings Home Health Care
• New Beginnings With Love, Inc.
• New Hope Behavioral Health Services, Inc
• New Hope Home Health Care,Inc.
• Ryan Michial Nielsen, DC

• Physician Assistant in Williamston, NC
• Providers in Williamston, 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 23, 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.