Active NPI
Corina Lee Buzard, PA-C, RD, LDN
- Physician Assistant
- Wilson, NC
National Provider Identifier
1982799136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 102594
- Practice address
- 303 Green St E
Wilson, NC 27893-4105 - Phone
- (252) 243-9800
- Fax
- (252) 243-9888
- NPI assigned
- Oct 4, 2006
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | L001768 | NC | |
| Physician Assistant | 363A00000X | 102594 | NC | Primary |
Addresses
Primary practice location
303 Green St E
Wilson, NC 27893-4105
Mailing address
303 Green St E
Wilson, NC 27893-4105
Phone (252) 293-0013
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
303 Green St E
Wilson, NC 27893-4105
Phone (252) 243-9800
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| L001768 | NC | MD | Registered Dietitian |
| 102594 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients | |
| Carolina Family Health Centers, Inc | Current | Accepting new patients |
Locations
8250 NC 58 S
Elm City, NC 27822
Phone (252) 443-7744
162 NC Highway 33 E
Tarboro, NC 27886
Phone (252) 641-0514
303 Green St E
Wilson, NC 27893
Phone (252) 243-9800
Interoperability endpoints
- cbuzard298090@direct.ochin.org
Organizations & group practices 4
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1184792103
-
- Federally Qualified Health Center (FQHC)
- Elm City, NC
- NPI 1417427642
-
- Federally Qualified Health Center (FQHC)
- Wilson, NC
- NPI 1518440734
-
- Federally Qualified Health Center (FQHC)
- Tarboro, NC
- NPI 1770651655
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1159920000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1698278400000",
"number": "1982799136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 GREEN ST E",
"city": "WILSON",
"state": "NC",
"postal_code": "278934105",
"telephone_number": "252-293-0013",
"fax_number": "252-243-2576"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 GREEN ST E",
"city": "WILSON",
"state": "NC",
"postal_code": "278934105",
"telephone_number": "252-243-9800",
"fax_number": "252-243-9888"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUZARD",
"first_name": "CORINA",
"middle_name": "LEE",
"name_prefix": "Mrs.",
"credential": "PA-C, RD, LDN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-04",
"last_updated": "2023-10-26",
"certification_date": "2023-10-26",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NC",
"license": "L001768",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "102594",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Wilson, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.