Active NPI
Jewel D Greywoode, M.D.
- Otolaryngology Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 2019-00515
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023227626 | Medicaid | NC |
Electronic endpoints 2
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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 100
- Quality
- 81.63
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 122148 | CA | MD | Marriage & Family Therapist |
| 2019-00515 | NC | MD | Otolaryngology Physician |
| MT188734 | PA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Charlotte Eye Ear Nose & Throat Associates, P.a. | Otolaryngology | Current | Accepting new patients |
| Univ of Maryland Otorhinolaryngology Head & Neck Surgery PA | Current | Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, PA | Current | Accepting new patients | |
| Shock Trauma Associates, P.a. | Current | Accepting new patients | |
| Charlotte Eye Ear Nose & Throat Associates, PA | Otolaryngology | Past | 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
- 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.
-
- Ophthalmology Physician
- Charlotte, NC
- NPI 1043287469
Otolaryngology
-
- Emergency Care Clinic/Center
- Baltimore, MD
- NPI 1679512909
-
- Specialist
- Baltimore, MD
- NPI 1104832948
-
- Ophthalmology Physician
- Salisbury, NC
- NPI 1801217948
-
- Otolaryngology Physician
- Charlotte, NC
- NPI 1114572534
-
- General Acute Care Hospital
- Frederick, MD
- NPI 1538165527
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Charlotte, NC
- NPI 1396798591
Hospital
-
- Psychiatric Hospital Unit
- Charlotte, NC
- NPI 1497708838
-
- General Acute Care Hospital
- Charlotte, NC
- NPI 1881647204
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.