Individual provider Active NPI

James R Byrd, PA

  • Physician Assistant
  • Boone, NC
National Provider Identifier
1063659910
Registry record updated Nov 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-01217 Issued in NC
Practice address
178 Highway 105 Ext Ste 201
Boone, NC 28607-5531
Phone
(828) 262-1800
Fax
(828) 262-5777
NPI assigned
Jan 14, 2009
Last updated
Nov 28, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-01217 NC Primary
Medical Physician Assistant 363AM0700X 0010-02127 NC

Addresses

Primary practice location

178 Highway 105 Ext Ste 201
Boone, NC 28607-5531

Mailing address

178 Highway 105 Ext Ste 201
Boone, NC 28607-5531
Phone (828) 262-1800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110126000796 NC Practitioner - Physician Assistant 2567641293 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-01217NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients
DLP Central Carolina Physician Practices LLC Physician Assistant CurrentSince Jan 4, 2016 Accepting new patients
DLP Frye Medical Group LLC CurrentSince Jun 1, 2017 Accepting new patients

Locations

178 Highway 105 Ext
Ste 201
Boone, NC 28607
Phone (828) 262-1800

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

915 Tate Blvd SE
Ste 186
Hickory, NC 28602
Phone (828) 449-8458

Organizations & group practices 3

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": "1231891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1480291200000",
    "number": "1063659910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 105 EXT STE 201",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075531",
            "telephone_number": "828-262-1800",
            "fax_number": "828-262-5777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "178 HIGHWAY 105 EXT STE 201",
            "city": "BOONE",
            "state": "NC",
            "postal_code": "286075531",
            "telephone_number": "828-262-1800",
            "fax_number": "828-262-5777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JAMES",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-01-14",
        "last_updated": "2016-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-01217",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "0010-02127",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Boone, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.