Individual provider Active NPI

Karl Anthony Pleasant, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1982628145
Registry record updated Aug 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-00514 Issued in NC
Practice address
195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967
Phone
(336) 768-6211
Fax
(336) 768-6869
NPI assigned
Jul 27, 2006
Last updated
Aug 7, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 7, 2024

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 0010-00514 NC Primary

Addresses

Primary practice location

195 Kimel Park Dr Ste 200
Winston Salem, NC 27103-6967

Mailing address

2025 Frontis Plaza Blvd
Suite 200
Winston Salem, NC 27103-5663
Phone (336) 768-6211

Other identifiers 1

IdentifierTypeStateIssuer
0010-00514OtherNCSTATE LICENSE

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
I20061013000181 NC Practitioner - Physician Assistant 3173529104 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Digestive Health Specialists PAGroup PAC ID 6507849601, 26 clinicians

Practice addresses (Care Compare)

137 Mount Calvary Rd
Suite a
Thomasville, NC 27360-3467
Phone (336) 768-6211

195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-5663

195 Kimel Park Dr
Suite 200
Winston Salem, NC 27103-6967
Phone (336) 768-6211

280 Broad St
F
Kernersville, NC 27284-2948
Phone (336) 768-6211

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
87.48 of 100Reported as group
Quality
81.46
Promoting interoperability
100
Improvement activities
40
Cost
76.8

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-00514NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Digestive Health Specialists, PA CurrentSince Mar 1, 2013 Accepting new patients
Digestive Health Specialists, PA CurrentSince Mar 1, 2013 Accepting new patients
Wake Forest Health Network, LLC Past Accepting new patients
Wake Forest Health Network LLC Past Accepting new patients

Locations

280 Broad St
Ste F
Kernersville, NC 27284
Phone (336) 765-6312

195 Kimel Park Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 397-5264

2025 Frontis Plaza Blvd
Ste 200
Winston Salem, NC 27103
Phone (336) 768-6621

Organizations & group practices 5

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 2

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": "1153958400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722988800000",
    "number": "1982628145",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2025 FRONTIS PLAZA BLVD",
            "address_2": "SUITE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271035663",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "195 KIMEL PARK DR STE 200",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036967",
            "telephone_number": "336-768-6211",
            "fax_number": "336-768-6869"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PLEASANT",
        "first_name": "KARL",
        "middle_name": "ANTHONY",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-27",
        "last_updated": "2024-08-07",
        "certification_date": "2024-08-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-00514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "0010-00514",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.