Individual provider Active NPI

Norman Henthorn, PA-C

  • Physician Assistant
  • Raleigh, NC
National Provider Identifier
1902875206
Registry record updated Apr 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08283 Issued in NC
Practice address
107 W Hargett St
Raleigh, NC 27601-1700
Phone
(919) 550-0821
NPI assigned
Mar 17, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 29, 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 0010-08283 NC Primary

Addresses

Primary practice location

107 W Hargett St
Raleigh, NC 27601-1700

Mailing address

5333 Cultivation LN
Raleigh, NC 27616-4331
Phone (207) 975-1658

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
I20181015002493 NC Practitioner - Physician Assistant 5799715751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fastmed PCGroup PAC ID 9830540558, 174 clinicians

Practice addresses (Care Compare)

100 Cornerstone Dr
Cary, NC 27519-8453
Phone (919) 650-3660

1261 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870-5127
Phone (252) 537-5600

1262 E Broad Ave
Rockingham, NC 28379-4902
Phone (910) 817-9200

1311 E Millbrook Rd
Raleigh, NC 27609-5473
Phone (919) 719-0119

1418 N Main St
Fuquay Varina, NC 27526-8901
Phone (919) 552-1733

2001 Sunset Ave
Rocky Mount, NC 27804-2523
Phone (252) 458-2508

212 N Spence Ave
Goldsboro, NC 27534-4318
Phone (919) 778-0851

220 US 70 Hwy W
Garner, NC 27529-3943
Phone (919) 779-7890

2908 N Herritage St
Kinston, NC 28501-1580
Phone (252) 523-3111

5080 Kahn Dr
Lumberton, NC 28358-2302
Phone (910) 738-5588

7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900

724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767

817 E Gannon Ave
Suite 104
Zebulon, NC 27597-8940
Phone (919) 375-1975

910 N Madison Blvd
Suite B
Roxboro, NC 27573-4573
Phone (336) 592-2230

Merit-based Incentive Payment System (MIPS)

Final score
74.09 of 100Reported as group
Quality
65.78
Improvement activities
40
Cost
76.37

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08283NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Fastmed Primary Care, P.C. Past Accepting new patients

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1142553600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1902875206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5333 CULTIVATION LN",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276164331",
            "telephone_number": "207-975-1658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 W HARGETT ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276011700",
            "telephone_number": "919-550-0821"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HENTHORN",
        "first_name": "NORMAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-17",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08283",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.