Individual provider Active NPI

Timothy James Somers, PA-C

  • Physician Assistant
  • Asheboro, NC
National Provider Identifier
1912661349
Registry record updated Feb 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-11480 Issued in NC
Practice address
373 N Fayetteville St
Asheboro, NC 27203-5507
Phone
(336) 626-3205
NPI assigned
Oct 21, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 25, 2025

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 0010-11480 NC Primary

Addresses

Primary practice location

373 N Fayetteville St
Asheboro, NC 27203-5507

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

186 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone (336) 277-2000

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
I20211206002128 NC Practitioner - Physician Assistant 4880084854 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
American Healthcare Systems LLCGroup PAC ID 7719383538, 64 clinicians

Practice addresses (Care Compare)

237 N Fayetteville St
Asheboro, NC 27203-5573

373 N Fayetteville St
Asheboro, NC 27203-5507
Phone (336) 626-3205

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital Inc CurrentSince Oct 3, 2024 Accepting new patients
Novant Medical Group Inc CurrentSince Dec 17, 2021 Accepting new patients
Novant Health Medical Group, LLC CurrentSince Dec 17, 2021 Accepting new patients
American Healthcare Systems, LLC CurrentSince Jan 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Oct 3, 2024 Accepting new patients
Forsyth Memorial Hospital, Inc Past Accepting new patients

Locations

125 Queens Rd
Charlotte, NC 28204
Phone (980) 302-6380

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

3515 W Market St
Ste 110
Greensboro, NC 27403
Phone (336) 299-0099

291 Broad St
Kernersville, NC 27284
Phone (336) 993-8181

490 Pineview Dr
Ste A
Kernersville, NC 27284
Phone (336) 992-2340

144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

725 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-2620

114 W 30th St
Ste 800
Winston Salem, NC 27105
Phone (336) 277-2000

185 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

186 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 277-2000

Interoperability endpoints

  • Direct secure messaging: tsomers856133@direct.novanthealth.org

Organizations & group practices 9

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": "1634774400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740441600000",
    "number": "1912661349",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "373 N FAYETTEVILLE ST",
            "city": "ASHEBORO",
            "state": "NC",
            "postal_code": "272035507",
            "telephone_number": "336-626-3205"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "186 Kimel Park Dr",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036946",
            "country_code": "US",
            "telephone_number": "336-277-2000",
            "fax_number": "336-277-2050",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SOMERS",
        "first_name": "TIMOTHY",
        "middle_name": "JAMES",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-10-21",
        "last_updated": "2025-02-25",
        "certification_date": "2025-02-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-11480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Asheboro, NC

Sources for this page

Verify at the official NPI Registry.