Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Emily Becker Pevtsov, PA-C

Individual provider Physician Assistant · NPI 1679977391

Emily Becker Pevtsov, PA-C is a Physician Assistant in Fayetteville, North Carolina. Graduated from Midwestern University, Chicago College of Osteopathic Med in 2014, 12 years ago. Practices with Blooming Medical Group, PLLC, a 3-clinician group, works from 2 locations, accepts Medicare assignment and offers telehealth. Licensed in Illinois and North Carolina.

Years since qualifying
12
Trained at
Midwestern University, Chicago College of Osteopathic Med
Licensed in
IL, NC
In the registry since
2014
Specialties on file
2
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

See every abbreviation used in this directory →

Claim this listing Report a problem Suggest an edit

Practice location Address checks out

548 Sandhurst Dr
Fayetteville, NC 28304-4426
Phone: (910) 484-3400
Fax: (910) 484-3404
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1460 Bond St, Naperville, IL 60563-6502 — (630) 859-0120

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-07412 (NC)
Physician Assistant Taxonomy 363A00000X · Licence 085.005271 (IL)

Record details

NPI number1679977391
Entity typeIndividual (Type 1)
GenderFemale
Credentials PA-C
Sole proprietorYes
NPI enumeratedOctober 9, 2014
Last updated in NPPESJuly 21, 2022
Certification dateNovember 18, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolMIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MED
Graduated 2014 (12 years in practice)
Group practice Blooming Medical Group, Pllc — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
TelehealthOffers telehealth services

Other providers in Fayetteville