Individual provider Active NPI

Jayson S Jarvis, CRNA

  • Certified Registered Nurse Anesthetist
  • Hickory, NC
National Provider Identifier
1104806652
Registry record updated Mar 31, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Certified Registered Nurse AnesthetistTaxonomy code 367500000X
License
176521 Issued in NC
Practice address
415 N Center St
Ste 201
Hickory, NC 28601-5036
Phone
(828) 327-8105
Fax
(828) 327-4245
NPI assigned
Jan 20, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Certified Registered Nurse Anesthetist 367500000X 176521 NC Primary

Addresses

Primary practice location

415 N Center St
Ste 201
Hickory, NC 28601-5036

Mailing address

415 N Center St
Ste 201
Hickory, NC 28601-5036
Phone (828) 327-8105

Other identifiers 1

IdentifierTypeStateIssuer
8051484MedicaidNC

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050502001057 NC Practitioner - Certified Registered Nurse Anesthetist (Crna) 9335188002 Reassigns benefits to 16 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Registered Nurse Anesthetist (Crna)
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Ballantyne Medical Center LLC 21 clinicians
Charlotte Gastroenterology and Hepatology PLLC 76 clinicians

Practice addresses (Care Compare)

10905 Providence Rd W
Charlotte, NC 28277-3644
Phone (980) 488-4000

13808 Professional Ctr Dr
Huntersville, NC 28078-7948
Phone (704) 377-4009

Hospital & facility affiliations

  • Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1352NCMDPhysical Therapist
176521NCMDCertified Registered Nurse Anesthetist

Practice roles

OrganizationSpecialtyStatusNew patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 28, 2023 Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 28, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Mint Hill Medical Center, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince Jun 28, 2018 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered Current Accepting new patients
Firsthealth of the Carolinas, Inc Nurse Anesthetist, Certified Registered CurrentSince Jun 28, 2018 Accepting new patients
East Carolina Anesthesia Associates, PLLC Nurse Anesthetist, Certified Registered CurrentSince Apr 1, 2017 Accepting new patients
Presbyterian Sameday Surgery Center at Huntersville LLC Current Accepting new patients
Medical Park Hospital LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Clemmons Outpatient Surgery, LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Rowan Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Matthews Medical Center LLC CurrentSince Aug 28, 2023 Accepting new patients
The Presbyterian Hospital CurrentSince Aug 28, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Current Accepting new patients
Charlotte Gastroenterology & Hepatology, PLLC CurrentSince Apr 1, 2025 Accepting new patients
Novant Health Ballantyne Medical Center LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Presbyterian Sameday Surgery Center at Ballantyne LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Thomasville Medical Center LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Kernersville Outpatient Surgery LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
The Presbyterian Hospital Current Accepting new patients
Brunswick Community Hospital, LLC Nurse Anesthetist, Certified Registered CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Rowan Medical Center, LLC CurrentSince Aug 28, 2023 Accepting new patients
Novant Health Thomasville Medical Center, LLC Nurse Anesthetist, Certified Registered Current Accepting new patients
Nurse Anesthesia of North Carolina, PLLC Nurse Anesthetist, Certified Registered Past Accepting new patients

Locations

240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678

10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000

2015 Randolph Rd
Ste 101
Charlotte, NC 28207
Phone (704) 602-6544

14215 Ballantyne Corporate Pl
Ste 210
Charlotte, NC 28277
Phone (704) 316-2650

8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000

15830 Ballantyne Medical Pl
Ste 175
Charlotte, NC 28277
Phone (704) 323-7633

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

7210 Village Medical Cir
Ste 235
Clemmons, NC 27012
Phone (336) 893-3100

2430 Emerald Pl
Ste 103
Greenville, NC 27834
Phone (252) 752-2140

810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000

10030 Gilead Rd
Huntersville, NC 28078
Phone (704) 316-4000

13808 Professional Center Dr
Huntersville, NC 28078
Phone (704) 717-5549

1730 Kernersville Medical Pkwy
Ste 304
Kernersville, NC 27284
Phone (336) 515-7000

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

1500 Matthews Township Pkwy
Matthews, NC 28105
Phone (704) 384-6500

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

612 Mocksville Ave
Salisbury, NC 28144
Phone (704) 210-5000

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

1950 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 718-0600

3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800

Organizations & group practices 34

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.

View all 34

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206921600000",
    "number": "1104806652",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-327-8105",
            "fax_number": "828-327-4245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "415 N CENTER ST",
            "address_2": "STE 201",
            "city": "HICKORY",
            "state": "NC",
            "postal_code": "286015036",
            "telephone_number": "828-327-8105",
            "fax_number": "828-327-4245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "JAYSON",
        "middle_name": "S",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-20",
        "last_updated": "2008-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "176521",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8051484",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hickory, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.

Verify at the official NPI Registry.