Individual provider Active NPI

Emily Vanderburg Propst, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1942667399
Registry record updated Oct 21, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06198 Issued in NC
Practice address
13460 Plaza Road Ext Ste 100
Charlotte, NC 28215-8923
Phone
(704) 316-4990
Fax
(704) 316-4998
NPI assigned
Jan 15, 2016
Last updated
Oct 21, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 21, 2020

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 0010-06198 NC Primary

Addresses

Primary practice location

13460 Plaza Road Ext Ste 100
Charlotte, NC 28215-8923

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other names 1

  • Emily Vanderburg Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address evanderburg178044@direct.novanthealth.org

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
I20160216000870 NC Practitioner - Physician Assistant 5698070480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1070 Vinehaven Dr NE
Concord, NC 28025-2438
Phone (704) 783-1840

9965 Poplar Tent Rd
Concord, NC 28027-9304
Phone (704) 783-1833

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-06198NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cabarrus Gastroenterology Associates, PLLC CurrentSince Feb 19, 2024 Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Past Accepting new patients
Cabarrus Gastroenterology Associates, PLLC Past Accepting new patients

Locations

1070 Vinehaven Dr NE
Concord, NC 28025
Phone (704) 783-1840

9965 Poplar Tent Rd
Concord, NC 28027
Phone (704) 783-1840

510 Corporate Cir
#1000
Salisbury, NC 28147
Phone (704) 783-1840

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1452816000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603238400000",
    "number": "1942667399",
    "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": "13460 PLAZA ROAD EXT STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282158923",
            "telephone_number": "704-316-4990",
            "fax_number": "704-316-4998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PROPST",
        "first_name": "EMILY",
        "middle_name": "VANDERBURG",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-01-15",
        "last_updated": "2020-10-21",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06198",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "evanderburg178044@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "13523 Plaza Road Ext",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282158921",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "VANDERBURG",
            "credential": "PA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.