MR. ETHAN CHARLES WELLS PA-C
NPI 1740024983
Physician Assistant in Clemmons, NC

Active since June 22, 2024PECOS EnrolledAccepts Medicare Assignment
7210 VILLAGE MEDICAL CIR STE 110, CLEMMONS, NC 27012(336) 893-2400(336) 893-2410 Get Directions Write a Review

NPPES record last updated: October 17, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Ethan Charles Wells Pa-c NPPES

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

MR. ETHAN CHARLES WELLS PA-C (NPI 1740024983) is an individual physician assistant in Clemmons, North Carolina, licensed in North Carolina (1219652) and active in the NPI registry since June 2024. He is enrolled in Medicare PECOS, is affiliated with Novant Health Forsyth Medical Center, and is a graduate of Other (2024).

NPPES Registry Identity

NPI1740024983
Entity TypeIndividualMale
Primary Taxonomy363A00000X
Provider Legal NameMR. ETHAN CHARLES WELLSCredential: PA-C
Location Address7210 VILLAGE MEDICAL CIR STE 110Clemmons, NC 27012-8041
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (336) 893-2400 · Fax (336) 893-2410
Fax(336) 893-2410
Sole ProprietorNo
Medical School CMSOtherGraduated 2024
Enumeration DateJune 22, 2024
Last NPPES UpdateOctober 17, 2024
NPPES CertifiedOctober 17, 2024
NPI 1740024983 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License Licensed in NC · 1219652
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.

7210 VILLAGE MEDICAL CIR STE 110, Clemmons, NC 27012

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Mr. Ethan Charles Wells Pa-c is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID2163954108
PECOS Enrollment IDI20241016001154
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Novant Health Forsyth Medical Center

Acute Care Hospitals · Winston-Salem, NC
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number340014
Location3333 Silas Creek ParkwayWinston-Salem, NC 27103 · Forsyth County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27012 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$83.90 typical visit price
range $54.12 – $165.09
Typical copayment $20.97 (range $13.53 – $41.27)
Most-billed visit code 99203
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery (Foot and Ankle Surgery)
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Physician Assistant
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012
Orthopaedic Surgery
7210 VILLAGE MEDICAL CIR STE 110
CLEMMONS, NC 27012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1740024983, enumerated as an "individual" on June 22, 2024.

The provider is located at 7210 VILLAGE MEDICAL CIR STE 110 CLEMMONS, NC 27012 and the phone number is (336) 893-2400.

Physician Assistant with taxonomy code 363A00000X.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC. Please consult your insurance carrier or call the provider to verify.

Ethan Wells is affiliated with: NOVANT HEALTH FORSYTH MEDICAL CENTER.