Active NPI
Charles Gentry Kirby, MD
- Ophthalmology Physician
- Sylva, NC
National Provider Identifier
1053308783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Ophthalmology Physician
- License
- 19614
- Practice address
- 70 Westcare Dr
Ste 403
Sylva, NC 28779-5292 - Phone
- (828) 586-7462
- Fax
- (828) 586-3312
- NPI assigned
- Sep 27, 2005
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Ophthalmology Physician | 207W00000X | 19614 | NC | Primary |
Addresses
Primary practice location
70 Westcare Dr
Ste 403
Sylva, NC 28779-5292
Mailing address
70 Westcare Dr
Ste 403
Sylva, NC 28779-5292
Phone (828) 586-7462
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1033Y | Other | NC | BCBS |
| 89-135HY | Medicaid | NC |
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
| License | State | Type | Specialty |
|---|---|---|---|
| 19614 | NC | MD | Ophthalmology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| WNC Eye Care Associates PA Optical Department | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Durable Medical Equipment & Medical Supplies
- Sylva, NC
- NPI 1235323130
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127779200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214870400000",
"number": "1053308783",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "70 WESTCARE DR",
"address_2": "STE 403",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795292",
"telephone_number": "828-586-7462",
"fax_number": "828-586-3312"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "70 WESTCARE DR",
"address_2": "STE 403",
"city": "SYLVA",
"state": "NC",
"postal_code": "287795292",
"telephone_number": "828-586-7462",
"fax_number": "828-586-3312"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KIRBY",
"first_name": "CHARLES",
"middle_name": "GENTRY",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2005-09-27",
"last_updated": "2008-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207W00000X",
"taxonomy_group": "",
"desc": "Ophthalmology",
"state": "NC",
"license": "19614",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "1033Y",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "89-135HY",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sylva, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.