Active NPI
Susan L. McKnight, P.A.
- Physician Assistant
- Greenville, NC
National Provider Identifier
1932306784
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 001000872
- Practice address
- 1850 W Arlington Blvd
Greenville, NC 27834-5704 - Phone
- (252) 413-6740
- NPI assigned
- Jun 27, 2007
- Last updated
- Oct 8, 2014
- 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 | 001000872 | NC | Primary |
Addresses
Primary practice location
1850 W Arlington Blvd
Greenville, NC 27834-5704
Mailing address
100 Breezewood Dr Apt E
Greenville, NC 27858-8088
Phone (252) 329-7215
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 872 | NC | MD | Physical Therapist |
| 001000872 | NC | MD | Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182902400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1412726400000",
"number": "1932306784",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "100 BREEZEWOOD DR APT E",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278588088",
"telephone_number": "252-329-7215"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1850 W ARLINGTON BLVD",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "278345704",
"telephone_number": "252-413-6740"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCKNIGHT",
"first_name": "SUSAN",
"middle_name": "L.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-06-27",
"last_updated": "2014-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "001000872",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.