Active NPI
Allcare Clinical Associates, PA
- Pain Medicine (Anesthesiology) Physician
- Brevard, NC
National Provider Identifier
1922446947
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine (Anesthesiology) Physician
- Legal business name
- ALLCARE CLINICAL ASSOCIATES, PA
- Practice address
- 89C Hospital Drive
Brevard, NC 28712 - Phone
- (828) 274-3477
- Fax
- (828) 274-7407
- NPI assigned
- Jun 12, 2013
- Last updated
- Dec 20, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jennifer Boyd Baldock
- Title
- Officer and Authorized Official
- Phone
- (615) 234-5924
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | |||
| Pain Medicine (Anesthesiology) Physician | 207LP2900X | Primary |
Addresses
Primary practice location
89C Hospital Drive
Brevard, NC 28712
Mailing address
4919 Memorial Hwy Ste 200
Tampa, FL 33634-7500
Phone (866) 631-7890
Other names 1
- Transylvania Pain Management Facility
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040310001460 | NC | Part B Supplier - Clinic/Group Practice | 1759285943 |
Receives reassigned benefits from 16 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Asheville, NC |
Other NPIs on the same Medicare enrollment 2
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Anesthesiology Physician
- Asheville, NC
- NPI 1144259961
O20040310001460
-
- Pain Medicine (Anesthesiology) Physician
- Asheville, NC
- NPI 1578909511
O20040310001460
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1370995200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1576800000000",
"number": "1922446947",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4919 MEMORIAL HWY STE 200",
"city": "TAMPA",
"state": "FL",
"postal_code": "336347500",
"telephone_number": "866-631-7890"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "89C HOSPITAL DRIVE",
"city": "BREVARD",
"state": "NC",
"postal_code": "28712",
"telephone_number": "828-274-3477",
"fax_number": "828-274-7407"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ALLCARE CLINICAL ASSOCIATES, PA",
"organizational_subpart": "NO",
"enumeration_date": "2013-06-12",
"last_updated": "2019-12-20",
"certification_date": "2019-12-20",
"status": "A",
"authorized_official_last_name": "BALDOCK",
"authorized_official_first_name": "JENNIFER",
"authorized_official_middle_name": "BOYD",
"authorized_official_title_or_position": "OFFICER AND AUTHORIZED OFFICIAL",
"authorized_official_telephone_number": "615-234-5924"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology",
"state": null,
"license": null,
"primary": false
},
{
"code": "207LP2900X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Anesthesiology, Pain Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Transylvania Pain Management Facility",
"code": "5",
"type": "Other Name"
},
{
"organization_name": "Transylvania Pain Management Facility",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Brevard, NC
- Advocate Medical Services, LLC (ActivStyle)
- Affordable Medical LLC (Comfort Medical)
- Lauren Jean Agrella-Sevilla, M.ED
- Kristy Taylor Aiken, FNP-C
- Amanda Alexander, LCSW
- Alliance CBS, Inc.
- Shannon Meadows Allison
- Ally Medical Services LLC (Acentus)
- America's Living Centers LLC (Transylvania Living Center)
- America's Living Centers LLC (Four Seasons Family Care Home)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.