Active NPIIndividual provider

Teresa E Elliott, PA-C

Physician Assistant in Raleigh, North Carolina

NPI Number1639437239
Practice location
11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093
Fax
—
Last updated
August 6, 2021

Teresa Elizabeth Elliott is a Physician Assistant based in Raleigh, NC. Teresa Elizabeth Elliott practices in Raleigh, NC and has the professional credentials of PA-C. The NPI Number for Teresa Elizabeth Elliott is 1639437239 and holds a License No. 0010-11395 (NC). The current practice location address for Teresa Elizabeth Elliott is 11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093 and can be reached out via phone at 919-220-5255.

Provider Profile Details

NPI Number
1639437239
Provider Name
Teresa Elizabeth Elliott
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093
Phone Number
919-220-5255
Primary Taxonomy
Physician Assistant · 363A00000X
Sole Proprietor
No
Provider Enumeration Date
May 2, 2012
Last Update Date
August 6, 2021
Certification Date
August 6, 2021
NPI Status
Active

Provider Business Practice Location Address Details

Address
11550 Common Oaks Dr Ste 100
Raleigh, NC 27614-8093
Zip
27614-8093
Phone Number
919-220-5255
Raleigh, NC 27614Get directions →

Provider Business Mailing Address Details

Address
Po Box 5105
Belfast, ME 04915-5100
City
Belfast
State
ME
Zip
04915-5100
Phone Number
919-220-5255

License Information

License Number (2)
0010-11395
License State (2)
NC
Taxonomy (2)
Physician Assistant · 363A00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Teresa E Elliott, PA-C?

The NPI number of Teresa E Elliott, PA-C is 1639437239. It was assigned on May 2, 2012 and is currently active in the NPPES registry.

What is the specialty of Teresa E Elliott, PA-C?

Teresa E Elliott, PA-C is registered under the primary taxonomy Physician Assistant (code 363A00000X), licensed in NC under license number 0010-11395.

Where does Teresa E Elliott, PA-C practice?

The practice location is 11550 Common Oaks Dr Ste 100, Raleigh, NC 27614-8093. The office can be reached at 919-220-5255 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1639437239 directly on the NPPES registry website.

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