Active NPI
Forrest Staton, PA-C
- Physician Assistant
- High Point, NC
National Provider Identifier
1922449982
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000748
- Practice address
- 404 Westwood Ave Ste 107
High Point, NC 27262-4316 - Phone
- (336) 887-3195
- Fax
- (336) 887-3194
- NPI assigned
- Jul 7, 2013
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 001000748 | NC | Primary |
Addresses
Primary practice location
404 Westwood Ave Ste 107
High Point, NC 27262-4316
Mailing address
2750 Chatham Farm Rd
Winston Salem, NC 27106-5868
Phone (336) 414-9390
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 001000748 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1373155200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559260800000",
"number": "1922449982",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2750 CHATHAM FARM RD",
"city": "WINSTON SALEM",
"state": "NC",
"postal_code": "271065868",
"telephone_number": "336-414-9390"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WESTWOOD AVE STE 107",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272624316",
"telephone_number": "336-887-3195",
"fax_number": "336-887-3194"
}
],
"practiceLocations": [],
"basic": {
"last_name": "STATON",
"first_name": "FORREST",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-07-07",
"last_updated": "2019-05-31",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001000748",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.