Active NPI
David McCarty Comer, PA-C
- Medical Physician Assistant
- Raleigh, NC
National Provider Identifier
1912050469
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 103181
- Practice address
- 8001 T W Alexander Dr Ste 216
Raleigh, NC 27617-4884 - Phone
- (919) 972-1645
- Fax
- (919) 230-1948
- NPI assigned
- Jan 19, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 103181 | NC | Primary |
Addresses
Primary practice location
8001 T W Alexander Dr Ste 216
Raleigh, NC 27617-4884
Mailing address
18005 Cambridge Village Loop
Apex, NC 27502-7718
Phone (919) 972-1645
Other practice location 1
3124 Blue Ridge Rd
Suite 103
Raleigh, NC 27612-8041
Phone (919) 782-5451
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20070519000020 | NC | Practitioner - Physician Assistant | 6002913407 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103181 | NC | MD | Clinical Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vitality Care PLLC | Current | Accepting new patients | |
| Anant B Soni MD PA | Past | Accepting new patients |
Interoperability endpoints
- davecomerpac@vcp-nc.direct.office.nextgen.com
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Geriatric Medicine (Internal Medicine) Physician
- Apex, NC
- NPI 1336955715
-
- Gastroenterology Physician
- Raleigh, NC
- NPI 1780778548
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169164800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1653436800000",
"number": "1912050469",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "18005 CAMBRIDGE VILLAGE LOOP",
"city": "APEX",
"state": "NC",
"postal_code": "275027718",
"telephone_number": "919-972-1645",
"fax_number": "919-230-1948"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8001 T W ALEXANDER DR STE 216",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276174884",
"telephone_number": "919-972-1645",
"fax_number": "919-230-1948"
}
],
"practiceLocations": [
{
"address_1": "3124 Blue Ridge Rd",
"address_2": "Suite 103",
"address_purpose": "LOCATION",
"city": "Raleigh",
"state": "NC",
"postal_code": "276128041",
"country_code": "US",
"telephone_number": "919-782-5451",
"fax_number": "919-782-9289",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "COMER",
"first_name": "DAVID",
"middle_name": "MCCARTY",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-01-19",
"last_updated": "2022-05-25",
"certification_date": "2022-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "103181",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 2022; 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.