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Dixie Lynn Fulk , PHYSICIAN ASSISTANT

Physician Assistant β€’ King, NC

Active NPI 1275367237 Individual Practitioner Female Practitioner Accepts Medicare assignment
Practice location in NPPES

216 Moore Rd
King, NC 270218703

Call 3369834346 Location details and other listings
Medical Disclaimer

This profile restates public CMS/NPPES data; T-MedInfo gives no medical advice — consult a licensed professional, and call 911 for emergencies.

Practice Location & Contact Primary Location

Practice Address

216 Moore Rd

King, NC 270218703

Telephone 3369834346
Fax 3369855101
Organization at the Same NPPES Address or Phone
Forsyth Memorial Hospital Inc Facility NPI 1497713234

Matched by practice address or phone in NPPES. A shared address or phone does not confirm that this clinician works there.

Other Listings in Public Data

CMS Doctors and Clinicians lists 2 distinct group names: Forsyth Memorial Hospital Inc; Novant Health Medical Group, Llc. See the list

Source: CMS Doctors and Clinicians National Downloadable File, release date unavailable.

Listings do not confirm current availability, employment or a shared ownership network.

Medicare Profile & Education

Source: CMS Doctors and Clinicians National Downloadable File

Graduation Year

2023

Industry payments (Open Payments)

No Open Payments records are listed for this clinician for 2021–2025.

Guide: How to read an Open Payments record

Years since graduation

3 years (graduated 2023)

CMS Doctors and Clinicians data list 2023 as the year this clinician finished professional school.

What this does not show: Years since graduation

It is not the number of years in practice, and more years does not mean better care.

Source: CMS Doctors and Clinicians National Downloadable File.

NPI first issued

2024

The year this clinician's National Provider Identifier (NPI) was issued. An NPI is a unique 10-digit ID that US health care providers use for billing.

What this does not show: NPI first issued

NPIs have been issued only since 2005, so this year is not necessarily when the clinician started practicing.

Source: CMS NPPES NPI Registry.

Accepts Medicare assignment

CMS data list this clinician as accepting Medicare assignment. This means agreeing to take the Medicare-approved amount as full payment for covered services.

Medicare assignment applies to Original Medicare. It does not tell you whether the clinician is in a Medicare Advantage plan's network, accepts other insurance, or is taking new patients.

Source: CMS Doctors and Clinicians; Medicare.gov, β€œDoes your provider accept Medicare as full payment?”

Guide: What Medicare assignment means

No telehealth indicator

CMS shows this indicator only when recent Medicare claims include telehealth services. The clinician may still offer telehealth; ask the office.

Source: CMS, Telehealth Indicator on Medicare Care Compare (fact sheet, January 2023); CMS Doctors and Clinicians.

Guide: How Medicare covers telehealth

Enrolled in Medicare (PECOS)

Dixie Fulk has a Medicare enrollment record in PECOS, the CMS system clinicians use to enroll so they can bill Medicare or order services for people with Medicare.

It does not show whether the clinician accepts assignment, is in your plan's network, or is taking new patients.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What Medicare enrollment (PECOS) means

Can order Medicare-covered services

CMS lists Dixie Fulk as eligible to order or refer Medicare Part B clinical laboratory and imaging services, durable medical equipment (DME) and home health services for people with Medicare.

What this does not show: Can order Medicare-covered services

It does not mean the clinician offers these services directly.

Source: CMS Medicare Fee-For-Service Public Provider Enrollment (PECOS); CMS Order and Referring file.

Guide: What ordering and referring status means

Compared with the same specialty in King and North Carolina

7 active clinicians are listed under Physician Assistant with a practice address in King, NC (9,288 in North Carolina).

Addresses are self-reported to NPPES and may be out of date.

Sources: CMS Doctors and Clinicians, CMS NPPES NPI Registry. Specialty names follow the NUCC Health Care Provider Taxonomy.

Text: T-MedInfo Β· Report an error.

Specialties & License Numbers Reported to NPPES

Self-certified to NPPES: 2024-11-13
Physician Assistant Primary Specialty

NUCC Taxonomy Code: 363A00000X

License # reported to NPPES NC 001014530

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.

Check License Status with the State Board License numbers are self-reported to NPPES; T-MedInfo does not confirm them against state records. Current status: North Carolina Medical Board.
Look Up on State Board Site

Medicare (PECOS) Enrollment & Ordering Eligibility

Source: CMS PECOS
Medicare FFS Enrollment Status Medicare Enrollment on File
CMS Provider Specialty

PRACTITIONER - PHYSICIAN ASSISTANT

Medicare Enrollment ID

I20241030003790

Enrollment State Jurisdiction

NC

PECOS Control ID

2860925740

Medicare Order & Referring Eligibility
Clinical Lab & Imaging (Part B) Eligible
Durable Medical Equipment (DME) Eligible
Home Health Agency (HHA) Eligible
Power Mobility Devices (PMD) Eligible

Sources: CMS Provider Enrollment and Order and Referring. Medicare enrollment is a billing status, not an accreditation or quality rating.

Medicare Group Practice Enrollments

Source: CMS Doctors and Clinicians National Downloadable File

Forsyth Memorial Hospital Inc

6301 Stadium Dr, Clemmons, NC 270128766

Phone: 3367666473

Novant Health Medical Group, Llc

167 Moore Rd, King, NC 270218770

Novant Health Medical Group, Llc

2825 Lyndhurst Ave, Winston Salem, NC 271034146

Forsyth Memorial Hospital Inc

216 Moore Rd, King, NC 270218703

Phone: 3369834346

Novant Health Medical Group, Llc

3641 Westgate Ctr Cir, Winston Salem, NC 271034146

Phone: 7043848200

Clinicians Sharing This Practice Address or Phone

Clinicians sharing this NPPES address, phone or fax; a shared contact does not mean they work together.

26 listed
Dr. Khaishoon Basrai , MD

Internal Medicine

NPI 1700865797

Doctor of Medicine (M.D.)

Sarah Berwanger , NP-C

Nurse Practitioner

NPI 1255789673

Nurse Practitioner (Certified)

Laurie Bowles , RN, NP

Nurse Practitioner

NPI 1750690285

Registered Nurse, Nurse Practitioner

Gregory Dunkelberger , PA-C

Physician Assistant

NPI 1790859551

Physician Assistant (Certified)

NPI 1356575211

Doctor of Medicine (M.D.)

Brittany Everett , NP-C

Nurse Practitioner

NPI 1144678764

Nurse Practitioner (Certified)

Career & Practice History Timeline

Changes recorded in monthly NPPES data files: addresses, names, credentials, specialties and NPI status

7 Historical Events
πŸ“
Updated Business Mailing Address November 13, 2024

Registered at PO BOX 751803, CHARLOTTE, NC 282751803 (Tel: 3369834346)

βœ…
NPI Profile Active August 30, 2024

NPI status registered as active in NPPES database

πŸ“
Practice Location (Initial Record) August 30, 2024

Registered at 216 MOORE RD, KING, NC 270218703 (Tel: 3369834346)

πŸ“
Business Mailing Address (Initial Record) August 30, 2024

Registered at 205 CRESTVIEW DR, KING, NC 270219348 (Tel: 3366485898)

πŸ‘€
Provider Name / Credentials (Initial Record) August 30, 2024

Recorded as DIXIE FULK, PHYSICIAN ASSISTANT

πŸŽ“
Medical Taxonomy / Specialty Registered (Primary Specialty) August 30, 2024

Physician Assistant (license number reported to NPPES: NC 001014530)

🟒
Initial NPI Registration & Enumeration August 30, 2024

First registered as active Individual Practitioner in NPPES Database.

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NPI Administrative Meta

NPI Number: 1275367237
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: August 30, 2024
Last Update: November 13, 2024
Sole Proprietor: No

Other Physician Assistants in King

Mailing Address

Po Box 751803

Charlotte, NC 282751803

Phone: 3369834346

About This Data NPPES fields (address, phone, specialty, license) are self-reported and may be outdated; Medicare fields follow the CMS dataset named in each section. Correct directly at NPPES.