Individual provider Active NPI

Eric Alan Knuth, PA-C

  • Physician Assistant
  • Huntersville, NC
National Provider Identifier
1992259378
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-08867 Issued in NC
Practice address
9604 Holly Point Dr
Huntersville, NC 28078-4913
Phone
(704) 316-5070
Fax
(704) 316-5075
NPI assigned
Aug 15, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X
Physician Assistant 363A00000X 0010-08867 NC Primary

Addresses

Primary practice location

9604 Holly Point Dr
Huntersville, NC 28078-4913

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (704) 384-6020

Other practice location 1

751 Forest Ave
Medical Arts Bldg 2 /Suite 201
Zanesville, OH 43701-2868
Phone (740) 454-7546

Other practice location 2

1450 Matthews Township Pkwy Ste 170
Matthews, NC 28105-6300
Phone (704) 384-6020

Other practice location 3

6324 Fairview Rd Ste 200
Charlotte, NC 28210-3271
Phone (980) 302-9700

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address eknuth698317@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
I20190325002845 NC Practitioner - Physician Assistant 6103100896 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

2825 Lyndhurst Ave
Winston Salem, NC 27103-4146

3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200

9604 Holly Point Dr
Huntersville, NC 28078-4913
Phone (704) 316-5070

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-08867NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Mar 4, 2019 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Mar 4, 2019 Accepting new patients
CSD ASC LLC Past Accepting new patients

Locations

6324 Fairview Rd
Ste 200
Charlotte, NC 28210
Phone (704) 316-5070

9604 Holly Point Dr
Huntersville, NC 28078
Phone (704) 316-5070

1450 Matthews Township Pkwy
Ste 170
Matthews, NC 28105
Phone (704) 384-6020

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Interoperability endpoints

  • Direct secure messaging: eknuth698317@direct.novanthealth.org

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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1471219200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1992259378",
    "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",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9604 HOLLY POINT DR",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280784913",
            "telephone_number": "704-316-5070",
            "fax_number": "704-316-5075"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "751 Forest Ave",
            "address_2": "Medical Arts Bldg 2 /Suite 201",
            "address_purpose": "LOCATION",
            "city": "Zanesville",
            "state": "OH",
            "postal_code": "437012868",
            "country_code": "US",
            "telephone_number": "740-454-7546",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1450 Matthews Township Pkwy Ste 170",
            "address_purpose": "LOCATION",
            "city": "Matthews",
            "state": "NC",
            "postal_code": "281056300",
            "country_code": "US",
            "telephone_number": "704-384-6020",
            "fax_number": "704-384-6025",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6324 Fairview Rd Ste 200",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282103271",
            "country_code": "US",
            "telephone_number": "980-302-9700",
            "fax_number": "980-302-9730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KNUTH",
        "first_name": "ERIC",
        "middle_name": "ALAN",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-08-15",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08867",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "eknuth698317@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "751 Forest Ave",
            "address_2": "Medical Arts Bldg 2 /Suite 201",
            "city": "Zanesville",
            "state": "OH",
            "country_code": "US",
            "postal_code": "437012868",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.