NORTH STATE MEDICAL CENTER PA
NPI 1538127121
Physician Assistant in Roxboro, NC

Active since May 03, 2006
609 PROFESSIONAL DR, ROXBORO, NC 27573(336) 599-9257(336) 599-2716 Get Directions Write a Review

NPPES record last updated: February 6, 2013. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About North State Medical Center Pa NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

NORTH STATE MEDICAL CENTER PA (NPI 1538127121) is a healthcare organization registered as a physician assistant in Roxboro, North Carolina and active in the NPI registry since May 2006. The organization lists Patrick L Godwin, President, as its authorized official.

NPPES Registry Identity

NPI1538127121
Entity TypeOrganization
Primary Taxonomy363A00000X
Legal Business NameNORTH STATE MEDICAL CENTER PA
Location Address609 PROFESSIONAL DRRoxboro, NC 27573
Mailing Address609 Professional DrRoxboro, NC 27573 · (336) 599-9257 · Fax (336) 599-2716
Fax(336) 599-2716
Organization SubpartNo
Authorized OfficialPatrick L GodwinPresident · (336) 599-9257
Enumeration DateMay 3, 2006
Last NPPES UpdateFebruary 6, 2013
✔ NPI 1538127121 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
Also ListedInternal MedicineTaxonomy 207R00000X
Also ListedPediatricsTaxonomy 208000000X
609 PROFESSIONAL DR, Roxboro, NC 27573

Other Identifiers 3

Other02948NC · Bcbs/nc
Medicare PIN2318295NC
Medicaid5911497NC

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

North State Medical Center Pa is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

2

Medicare enrollment records show 2 clinicians reassign Medicare billing to North State Medical Center PA, which bills Medicare for the services they deliver. Of these, 1 practice at this address and 2 within 10 miles. They are listed nearest first.

Clinicians, nearest first (2)

Pediatric Medicine
NPI 1164483483
609 PROFESSIONAL DR
Roxboro, NC 27573
(336) 599-9257
✔ PECOS✔ Accepts MedicareSame address
Family Practice
NPI 1689655292
757 CARVER DR
Roxboro, NC 27573
(336) 597-5553
✔ PECOS✔ Accepts Medicare0.2 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is North State Medical Center PA's NPI number?

The NPI number for North State Medical Center PA is 1538127121. It was assigned to this organization in the NPPES registry on May 3, 2006.

Where is North State Medical Center PA located?

North State Medical Center PA is located at 609 Professional Dr, Roxboro, NC 27573. The listed phone number is (336) 599-9257.

What is North State Medical Center PA's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is North State Medical Center PA enrolled in Medicare?

Yes. North State Medical Center PA is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through North State Medical Center PA?

According to the CMS Revalidation Reassignment List (October 2026 release), 2 clinicians reassign their Medicare billing to North State Medical Center PA, in Family Practice and Pediatric Medicine. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Of these, 1 practice at this address and 2 within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

What insurance does North State Medical Center PA accept?

Health plans from AmeriHealth Caritas Next and Blue Cross and Blue Shield of NC list North State Medical Center PA as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for North State Medical Center PA was last updated on February 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.