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NPI 1922771070ActiveOrganization· Physician Assistant· Clayton, NC

Physician Assistant in Clayton, North Carolina, registered in NPPES in July 2021. The authorized official on file is Susan Edwards, PA-C, Owner.

Overview

NPI1922771070
StatusActive
Entity typeOrganization
NPI issuedJul 26, 2021
Last updated in NPPESOct 20, 2021
Certified by providerOct 18, 2021

Specialties and licenses

TaxonomyCodeLicenseState
Physician Assistant Primary363A00000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 10, 2026No match—
New York OMIG · Nov 10, 2026No match—
Ohio Medicaid · Nov 10, 2026No match—
Pennsylvania Medicheck · Nov 10, 2026No match—
Washington HCA · Nov 10, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physician Assistant providers in Clayton

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