NICOLE MARIE EATON PA-C
NPI 1760406490
Physician Assistant in Statesville, NC

Q: What is Nicole Eaton's NPI number?

The NPI number for Nicole Eaton is 1760406490. It was assigned to this individual provider in the NPPES registry on July 26, 2006.

Q: What is Nicole Eaton's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Nicole Eaton was last updated on April 21, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since July 26, 2006

208 OLD MOCKSVILLE RD, STATESVILLE, NC 28625(704) 878-2021(704) 878-2022 Get Directions Write a Review

NPPES record last updated: April 21, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Nicole Marie Eaton Pa-c NPPES

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

NICOLE MARIE EATON PA-C (NPI 1760406490) is an individual physician assistant in Statesville, North Carolina, licensed in North Carolina (103697) and active in the NPI registry since July 2006.

NPPES Registry Identity

NPI1760406490

Entity TypeIndividualFemale

Primary Taxonomy363A00000X

Provider Legal NameNICOLE MARIE EATONCredential: PA-C

Location Address208 OLD MOCKSVILLE RDStatesville, NC 28625-1953

Mailing Address650 Signal Hill Drive Ext, Po Box 1845Statesville, NC 28625-4353 · (704) 873-4277 · Fax (704) 873-4511

Phone(704) 878-2021

Fax(704) 878-2022

Sole ProprietorNo

Enumeration DateJuly 26, 2006

Last NPPES UpdateApril 21, 2020

NPPES CertifiedApril 21, 2020

✔ NPI 1760406490 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 · 103697

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.

208 OLD MOCKSVILLE RD, Statesville, NC 28625

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Other Providers at the Same Location NPPES 20

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

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