Individual provider Active NPI

Jerald D Pyles, M.D.

  • Internal Medicine Physician
  • Hendersonville, NC
National Provider Identifier
1043270929
Registry record updated Sep 5, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
22035 Issued in NC
Practice address
705 6TH Ave W
Suite a
Hendersonville, NC 28739-4164
Phone
(828) 692-2231
Fax
(828) 692-9742
NPI assigned
Mar 24, 2006
Last updated
Sep 5, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 5, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 22035 NC Primary

Addresses

Primary practice location

705 6TH Ave W
Suite a
Hendersonville, NC 28739-4164

Mailing address

PO Box 63314
Charlotte, NC 28263-3314
Phone (828) 696-1312

Other identifiers 1

IdentifierTypeStateIssuer
8969555MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
22035NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Quality Healthcare Associates PastSince Jul 1, 1998 Accepting new patients

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1143158400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1315180800000",
    "number": "1043270929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 63314",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282633314",
            "telephone_number": "828-696-1312",
            "fax_number": "828-696-1314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "705 6TH AVE W",
            "address_2": "SUITE A",
            "city": "HENDERSONVILLE",
            "state": "NC",
            "postal_code": "287394164",
            "telephone_number": "828-692-2231",
            "fax_number": "828-692-9742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PYLES",
        "first_name": "JERALD",
        "middle_name": "D",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-24",
        "last_updated": "2011-09-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "22035",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8969555",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hendersonville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 5, 2011; 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.