Jay J Schmidt, M.D.

Primary specialty

Internal Medicine PhysicianTaxonomy code 207R00000X

License

93-00585 Issued in NC

Practice address

4355 Hickory Blvd
Upper Suite
Granite Falls, NC 28630-1992

Phone

(828) 757-5060

Fax

(828) 757-5064

NPI assigned

Jun 7, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Foothills Internal Medicine

  • Internal Medicine Physician
  • Hickory, NC
  • NPI 1043398209

  Internal Medicine

  NPD (past)

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

{
    "created_epoch": "1149638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1482969600000",
    "number": "1083654271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5965",
            "fax_number": "828-757-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4355 HICKORY BLVD",
            "address_2": "UPPER SUITE",
            "city": "GRANITE FALLS",
            "state": "NC",
            "postal_code": "286301992",
            "telephone_number": "828-757-5060",
            "fax_number": "828-757-5064"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHMIDT",
        "first_name": "JAY",
        "middle_name": "J",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-07",
        "last_updated": "2016-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "93-00585",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8974836",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "74836",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Gary Roithner, OTR/L
• Royal Apothecary, Inc.
• Tracey Philyaw Sadlowski, OWNER
• Kaylin Carswell Safriet, MSCCC/SLP
• John Sandberg
• Septima Recovery House
• Sylvia Eleese Sequina-Hitchcock, LCMHCA
• Christine Ann Sigmon, MPT
• Jordan Logan Simpson, M.D.
• Linda Smart

• All providers in Granite Falls, NC
• Internal Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2016; 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.