Individual provider Active NPI

Jeffrey David Hyland, MD

  • Emergency Medicine Physician
  • Charlotte, NC
National Provider Identifier
1023042504
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
61206 Issued in TN
Practice address
1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone
(704) 355-3181
NPI assigned
Jul 10, 2006
Last updated
Apr 26, 2022By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200400684 NC
Emergency Medicine Physician 207P00000X 87576 SC
Emergency Medicine Physician 207P00000X 61206 TN Primary
Diagnostic Ultrasound Physician 2085U0001X 200400684 NC

Addresses

Primary practice location

1000 Blythe Blvd
Charlotte, NC 28203-5812

Mailing address

1000 Blythe Blvd
Charlotte, NC 28203-5812
Phone (704) 355-3181

Other identifiers 3

IdentifierTypeStateIssuer
137Y3OtherNCNCBCBS
N84004MedicaidSC
89137Y3MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, MI, TN, TX, SC, AR6 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 6

Enrollment IDStateProvider typePAC IDDetails
I20041013001423 NC Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 3 organizations
I20180712001035 MI Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 5 organizations
I20200416002004 TN Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 1 organization
I20200804000360 TX Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 1 organization
I20220505002377 SC Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 3 organizations
I20240125000130 AR Practitioner - Emergency Medicine 4486614450 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Wayne State University School of Medicine, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gastonia Physician Services PLLCGroup PAC ID 3870719602, 66 clinicians

Practice addresses (Care Compare)

201 E Grover St
Shelby, NC 28150-3917
Phone (704) 487-3131

451 E Charlotte Ave
Mt Holly, NC 28120-2211
Phone (980) 834-2266

706 W King St
Kings Mountain, NC 28086-2708
Phone (980) 487-5450

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
95.82 of 100Reported as group
Quality
92.4
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
61206TNMDEmergency Medicine Physician
200400684NCMDDiagnostic Ultrasound Physician

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Apr 1, 2020 Accepting new patients
Aspirus Keweenaw CurrentSince Sep 2, 2021 Accepting new patients
Northwest Arkansas HBP Services LLC Emergency Medicine CurrentSince Feb 7, 2024 Accepting new patients
Aspirus Keweenaw Current Accepting new patients
Carolinas Emergency Physicians, P.a. Emergency Medicine CurrentSince Jul 1, 2010 Accepting new patients
Carolinas Emergency Physicians, P.a. Emergency Medicine Current Accepting new patients
Aspirus Keweenaw CurrentSince Sep 2, 2021 Accepting new patients
App of South Carolina Ed PLLC Emergency Medicine CurrentSince Apr 20, 2022 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 27, 2020 Accepting new patients
Sound Physicians Emergency Medicine of Michigan, PLLC Emergency Medicine CurrentSince Aug 1, 2018 Accepting new patients
Ies Arkansas PLLC Emergency Medicine CurrentSince Dec 14, 2023 Accepting new patients
DHHS, PHS, Naihs, Shiprock Hospital CurrentSince Jul 27, 2020 Accepting new patients
Springdale- Bentonville HBP Services, LLC Emergency Medicine CurrentSince May 3, 2024 Accepting new patients
Ies South Carolina LLC Emergency Medicine CurrentSince Aug 6, 2023 Accepting new patients
Emergency Medicine Physicians of Gaston County, PLLC Emergency Medicine Past Accepting new patients

Locations

1580 E Centerton Blvd
Bentonville, AR 72712
Phone (479) 553-2150

3000 Medical Center Pkwy
Bentonville, AR 72712
Phone (479) 553-2524

3873 N Parkview Dr
Fayetteville, AR 72703
Phone (479) 527-0050

29980 Network Pl
Chicago, IL 60673

1501 W Chisholm St
Alpena, MI 49707
Phone (989) 356-7000

N10561 Grandview Ln
Ironwood, MI 49938
Phone (906) 932-1500

205 Osceola St
Laurium, MI 49913
Phone (906) 337-3100

601 S 7th St
Ontonagon, MI 49953
Phone (906) 884-8000

706 W King St
Kings Mtn, NC 28086
Phone (704) 730-5108

201 E Grover St
Shelby, NC 28150
Phone (704) 487-3000

1315 Roberts St
Camden, SC 29020
Phone (803) 432-4311

1304 W Bobo Newsom Hwy
Hartsville, SC 29550
Phone (469) 340-1366

5121 Maryland Way
Ste 300
Brentwood, TN 37027
Phone (615) 436-6556

651 Dunlop Ln
Clarksville, TN 37040
Phone (931) 502-1000

10820 Parkside Dr
Knoxville, TN 37934
Phone (865) 218-7011

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

Interoperability endpoints

  • Direct secure messaging: jhyland536799@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jhyland711318@direct.vumc.org

Organizations & group practices 20

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

View all 20

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152489600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1023042504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 BLYTHE BLVD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282035812",
            "telephone_number": "704-355-3181"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HYLAND",
        "first_name": "JEFFREY",
        "middle_name": "DAVID",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-10",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200400684",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "87576",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "61206",
            "primary": true
        },
        {
            "code": "2085U0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Diagnostic Ultrasound",
            "state": "NC",
            "license": "200400684",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCBCBS",
            "identifier": "137Y3",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "N84004",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89137Y3",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.