Individual provider Active NPI

Jewel D Greywoode, M.D.

  • Otolaryngology Physician
  • Charlotte, NC
National Provider Identifier
1023227626
Registry record updated Apr 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
2019-00515 Issued in NC
Practice address
6035 Fairview Rd
Charlotte, NC 28210
Phone
(704) 295-3000
Fax
(704) 838-8494
NPI assigned
May 21, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X MT188734 PA
Otolaryngology Physician 207Y00000X 2019-00515 NC Primary

Addresses

Primary practice location

6035 Fairview Rd
Charlotte, NC 28210

Mailing address

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Other practice location 1

401 Phalen Blvd - MS 411041
HealthPartners Specialty Center 401
St. Paul, MN 55130-5302
Phone (651) 254-8550

Other practice location 2

400 E Stonewall St Unit F
Charlotte, NC 28202-3601
Phone (704) 295-3000

Other identifiers 1

IdentifierTypeStateIssuer
1023227626MedicaidNC

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address jgreywoode18952@direct.ceenta.com
Direct Messaging Address jgreywoode18952@direct.ceenta.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, NC2 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 2

Enrollment IDStateProvider typePAC IDDetails
I20141224001079 MD Practitioner - Otolaryngology 5294913208 Reassigns benefits to 2 organizations
I20190807002073 NC Practitioner - Otolaryngology 5294913208 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
University of Florida College of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

6035 Fairview Rd
Charlotte, NC 28210-3256
Phone (704) 295-3000

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
122148CAMDMarriage & Family Therapist
2019-00515NCMDOtolaryngology Physician
MT188734PAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Eye Ear Nose & Throat Associates, P.a. Otolaryngology CurrentSince Aug 13, 2019 Accepting new patients
Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA CurrentSince Oct 11, 2014 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA CurrentSince Aug 13, 2019 Accepting new patients
Shock Trauma Associates, P.a. CurrentSince Oct 24, 2014 Accepting new patients
Charlotte Eye Ear Nose & Throat Associates, PA Otolaryngology PastSince Aug 1, 2019 Accepting new patients
Frederick Health Hospital Inc Past Accepting new patients

Locations

22 S Greene St
Baltimore, MD 21201
Phone (410) 328-5793

419 W Redwood St
Baltimore, MD 21201
Phone (410) 328-5196

16 S Eutaw St
Ste 400
Baltimore, MD 21201
Phone (410) 328-1791

400 Park St
Belmont, NC 28012
Phone (704) 295-3700

6035 Fairview Rd
Charlotte, NC 28210
Phone (336) 718-2078

400 E Brooklyn Village Ave
#A1
Charlotte, NC 28202

400 E Brooklyn Village Ave
Ste A1
Charlotte, NC 28202
Phone (704) 295-3110

Interoperability endpoints

  • Direct secure messaging: jgreywoode18952@direct.ceenta.com

Organizations & group practices 6

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.

Hospital & facility affiliations 4

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": "1179705600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619568000000",
    "number": "1023227626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282103256",
            "telephone_number": "704-295-3000",
            "fax_number": "704-838-8494"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6035 FAIRVIEW RD",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28210",
            "telephone_number": "704-295-3000",
            "fax_number": "704-838-8494"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 Phalen Blvd - MS 411041",
            "address_2": "HealthPartners Specialty Center 401",
            "address_purpose": "LOCATION",
            "city": "St. Paul",
            "state": "MN",
            "postal_code": "551305302",
            "country_code": "US",
            "telephone_number": "651-254-8550",
            "fax_number": "651-254-8558",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "400 E Stonewall St Unit F",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282023601",
            "country_code": "US",
            "telephone_number": "704-295-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREYWOODE",
        "first_name": "JEWEL",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-05-21",
        "last_updated": "2021-04-28",
        "certification_date": "2021-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "PA",
            "license": "MT188734",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NC",
            "license": "2019-00515",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1023227626",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgreywoode18952@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "400 E Stonewall St Unit F",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "282023601",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jgreywoode18952@direct.ceenta.com",
            "affiliation": "N",
            "address_1": "6035 Fairview Rd",
            "city": "Charlotte",
            "state": "NC",
            "country_code": "US",
            "postal_code": "28210",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.