Individual ProviderNorah AdeyemiPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address40 Autumn Fern Trl, Lillington, NC 27546-5155(910) 364-0971(603) 264-3095PECOS EnrollmentBased on the most recent information from CMS, provider Norah Adeyemi is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1265909253Provider TypeIndividualFull NameAdeyemi, NorahCredentialPA-CGenderFemaleSole ProprietorNoEnumeration Date10/27/2018Last Updated2/11/2019Contact InformationPractice LocationPractice Address40 Autumn Fern Trl, Lillington, NC 27546-5155Phone(910) 364-0971FaxUnlisted FaxMailing LocationMailing Address21 Oak Ridge Ave Apt 1, Salem, NH 03079-4424Phone(603) 264-3095FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode363A00000XPrimaryDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicense0010-08797North CarolinaCode363A00000XDescriptionPhysician AssistantPhysician Assistants & Advanced Practice Nursing ProvidersLicensePA6813Massachusetts