Joseph P Byrne, PAC

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103787 Issued in NC

Practice address

4024A Old Tar Rd
Winterville, NC 28590-8430

Phone

(252) 355-3773

Fax

(252) 355-1958

NPI assigned

Apr 20, 2007

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jbyrne21969@direct.ecuhealth.com

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Our Children'S Clinic, PA

  • Pediatrics Physician
  • Winterville, NC
  • NPI 1124135603
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003034745",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4024A OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908430",
            "telephone_number": "252-355-3773",
            "fax_number": "252-355-1958"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4024A OLD TAR RD",
            "city": "WINTERVILLE",
            "state": "NC",
            "postal_code": "285908430",
            "telephone_number": "252-355-3773",
            "fax_number": "252-355-1958"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRNE",
        "first_name": "JOSEPH",
        "middle_name": "P",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-04-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103787",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Bright Star Enrichment Agency
• Jazmin Bright
• Lakeisha Brown, LCSW, LCAS, LPCA
• Laneisha Brown, LCSW, LCAS-A, CSAC
• Nicole H Brown, LCAS, CCS
• C & S Home Care Inc
• Kristin Marie Cain
• Brittany Robin Campbell, CNA 1 & 2
• Rhonda Cardinale, LPA
• Care Advantage Home Care

• All providers in Winterville, NC
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.