Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jeremiah Powers, PA-C

Individual provider Physician Assistant · NPI 1104451830

Jeremiah Powers, PA-C is a Physician Assistant in Henderson, North Carolina. Graduated from Brody School of Medicine at East Carolina University in 2019, 7 years ago. Practices with Vance Family Medicine PA, a 31-clinician group and accepts Medicare assignment. Licensed in North Carolina.

Years since qualifying
7
Trained at
Brody School of Medicine at East Carolina University
Licensed in
NC
In the registry since
2020
What do these letters mean?
PA-C — Physician Assistant, Certified
A physician assistant who holds current national certification.

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Practice location Address checks out

381 Ruin Creek Rd
Henderson, NC 27536-2932
Phone: (252) 430-0666
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X · Licence 0010-09738 (NC)

Record details

NPI number1104451830
Entity typeIndividual (Type 1)
GenderMale
Credentials PA-C
Sole proprietorNo
NPI enumeratedMarch 3, 2020
Last updated in NPPESMarch 3, 2020
Certification dateMarch 3, 2020
Mailing address340 Cascade Hills Ln, Wake Forest, NC 27587-2147

Medicare enrollment

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

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolBRODY SCHOOL OF MEDICINE AT EAST CAROLINA UNIVERSITY
Graduated 2019 (7 years in practice)
Group practice Vance Family Medicine Pa — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

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