ELISA M CARTER (NPI# 1164431755) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164431755 |
| Entity Type | Individual |
| Full Name | ELISA M CARTER |
| Credential | PA |
| Practice Address |
100 Plank Bridge Rd Camden NC 27921 |
| Practice Telephone | 2523311829 |
| Practice Fax Number | 2523312916 |
| Mailing Telephone | 2523311829 |
| Mailing Fax Number | 2523312916 |
| Enumeration Date | 2006-08-05 |
| Last Update Date | 2020-06-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207RC0000X |
Internal Medicine Specialization: Cardiovascular Disease |
0110001676 | VA | Allopathic & Osteopathic Physicians |
| Y | 363AM0700X |
Physician Assistant Specialization: Medical |
0110001676 | VA | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | 010385407 | 05 |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1805 W City Dr, Elizabeth City, NC 279099646 | 2523341602 | 2523341604 |
| 112 Gainsborough Sq Ste 100, Chesapeake, VA 233201706 | 7574102287 | 7574107747 |
| 1138 N Road St, Elizabeth City, NC 279093353 | 2523341602 | 2523341604 |
| Street Address |
100 PLANK BRIDGE RD |
| City | CAMDEN |
| State | NC |
| Zip Code | 27921 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528038817 | Charles Chandler Ashby Jr. | Internal Medicine | 100 Plank Bridge Rd, Camden, NC 27921-2792 | 2006-01-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689858573 | Camden County Dept. Social Services | Case Management | 117 North Highway 343, Camden, NC 27921 | 2007-12-27 |
| 1043417496 | Bradley D Isbister | Family Medicine | 100 Plank Bridge Road, Camden, NC 27921 | 2007-06-29 |
| 1578604492 | Camden County Schools | Local Education Agency (LEA) | 175 North Hwy 343, Camden, NC 27921 | 2007-02-12 |
| 1629122437 | Albemarle Mental Health Center | Social Worker | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-22 |
| 1104907021 | Albemarle Regional Health Services | Home Health | 160 Us 158e, Bldg B, Camden, NC 27921 | 2006-10-18 |
| 1265513329 | Albemarle Regional Health Services | Clinic/Center | 160 Us 158 E, Bldg B, Camden, NC 27921 | 2006-10-17 |
| 1295246544 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Camden, NC 27921 | 2017-10-13 |
| 1740701929 | Todds Pharmacy of Camden, Inc | Pharmacy | 100 Plank Bridge Road, Suite A, Camden, NC 27921 | 2017-06-28 |
| 1376902684 | St. Jude's Ministries Inc. | Counselor | 207 Hwy 343 South, Church of The Redeemer Camden, Camden, NC 27921 | 2016-02-15 |
| 1902951163 | Albemarle Mental Health Center | Clinical Neuropsychologist | 160-a Camden Medical Park, Camden, NC 27921 | 2007-01-25 |
| Find all providers in zip 27921 | ||||
| Taxonomy Code | 363AM0700X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Physician Assistant |
| Specialization | Medical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144525395 | Mickie Carter | Physician Assistant | 284 Hwy 641 N, Camden, TN 38320 | 2011-01-19 |
| 1013064203 | Amanda White | Physician Assistant | 1600 Haddon Ave Fl 6, Camden, NJ 08103-3101 | 2007-01-03 |
| 1164535803 | Stephanie Baxley Batten | Physician Assistant | 166 Court Inn Ln, Camden, SC 29020-2900 | 2006-08-16 |
| 1386281079 | Megan Demarco | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-12-02 |
| 1932742764 | Rachel Marie Wiegand | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2019-10-24 |
| 1255892899 | Galia Wilk | Physician Assistant | 1865 Harrison Ave Ste 1300, Camden, NJ 08105-3602 | 2019-03-27 |
| 1649769878 | Andrew C Harrison | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103 | 2018-05-03 |
| 1740679588 | Melissa Anne Pryzbylkowski | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2015-01-16 |
| 1053733394 | Mykenzi Gibbs | Physician Assistant | 1045 W Dekalb St, Camden, SC 29020-4162 | 2014-01-06 |
| 1083044051 | John A Tenuto | Physician Assistant | 1 Cooper Plz, Camden, NJ 08103-1461 | 2013-11-12 |
| Find all providers in CAMDEN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.