Individual provider Active NPI

Jessica Hardin Enyeart, PA-C, MPAS

  • Physician Assistant
  • Jacksonville, NC
National Provider Identifier
1922080951
Registry record updated Feb 17, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00294 Issued in NC
Practice address
Coastal Carolina Neuropsychiatric Center
200 Tarpon Trail
Jacksonville, NC 28546
Phone
(910) 938-1114
Fax
(910) 938-1118
NPI assigned
Nov 16, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 17, 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 0010-00294 NC Primary

Addresses

Primary practice location

Coastal Carolina Neuropsychiatric Center
200 Tarpon Trail
Jacksonville, NC 28546

Mailing address

Coastal Carolina Neuropsychiatric Center
200 Tarpon Trail
Jacksonville, NC 28546
Phone (910) 938-1114

Other names 1

  • Jessica Lynn Hardin 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
I20060118000215 NC Practitioner - Physician Assistant 5193749133 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Coastal Carolina Neuropsychiatric Center PAGroup PAC ID 5890794689, 28 clinicians

Practice addresses (Care Compare)

1630 Military Cutoff Rd
Suite 108
Wilmington, NC 28403-5719
Phone (910) 938-1114

200 Tarpon TRL
Jacksonville, NC 28546-5287
Phone (910) 938-1114

302 Penny LN
Morehead City, NC 28557-4306
Phone (910) 938-1114

Merit-based Incentive Payment System (MIPS)

Final score
88.65 of 100Reported as individual
Quality
64.08
Promoting interoperability
100
Improvement activities
40
Cost
81.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Joseph F Colligan MD 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": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613520000000",
    "number": "1922080951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "COASTAL CAROLINA NEUROPSYCHIATRIC CENTER",
            "address_2": "200 TARPON TRAIL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-938-1114",
            "fax_number": "910-938-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COASTAL CAROLINA NEUROPSYCHIATRIC CENTER",
            "address_2": "200 TARPON TRAIL",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "28546",
            "telephone_number": "910-938-1114",
            "fax_number": "910-938-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ENYEART",
        "first_name": "JESSICA",
        "middle_name": "HARDIN",
        "name_prefix": "Miss",
        "credential": "PA-C, MPAS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2021-02-17",
        "certification_date": "2021-02-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "HARDIN",
            "middle_name": "LYNN",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.