Individual provider Active NPI

Jenaro Adam Ryan, PHYSICIAN ASSISTANT

  • Physician Assistant
  • Morehead City, NC
National Provider Identifier
1114736964
Registry record updated Jan 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
3714 Guardian Ave
Morehead City, NC 28557-2974
Phone
(910) 332-3800
NPI assigned
Jan 6, 2025
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X NC Primary

Addresses

Primary practice location

3714 Guardian Ave
Morehead City, NC 28557-2974

Mailing address

PO Box 5105
Belfast, ME 04915-5100
Phone (910) 332-3800

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250219000650 NC Practitioner - Physician Assistant 0143740381 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Emergency Medicine Physicians of Craven County PLLCGroup PAC ID 0042106478, 17 clinicians
Emergeortho PAGroup PAC ID 0749188894, 726 clinicians
Emergency Medicine Physicians of Carteret County PLLCGroup PAC ID 0042122582, 4 clinicians

Practice addresses (Care Compare)

2000 Neuse Blvd
New Bern, NC 28560-3449
Phone (252) 633-8119

2145 Country Club Rd
Suite 800
Jacksonville, NC 28546-2404
Phone (910) 332-3800

3500 Arendell St
Morehead City, NC 28557-2901
Phone (252) 808-6000

799 Doctors CT
Roxboro, NC 27573-4571
Phone (336) 599-4079

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Medicine Physicians of Craven County, PLLC CurrentSince Oct 1, 2025 Accepting new patients
Emergeortho PA Physician Assistant CurrentSince Mar 10, 2025 Accepting new patients
Emergeortho PA CurrentSince Mar 10, 2025 Accepting new patients
Emergency Medicine Physicians of Carteret County, PLLC CurrentSince Oct 1, 2025 Accepting new patients

Locations

2145 Country Club Rd
Ste 800
Jacksonville, NC 28546
Phone (910) 939-5759

2145 Country Club Rd
Ste 400
Jacksonville, NC 28546
Phone (910) 353-2319

3500 Arendell St
Morehead City, NC 28557
Phone (252) 499-6000

3714 Guardian Ave
Morehead City, NC 28557
Phone (252) 247-0314

3714 Guardian Ave
Ste E
Morehead City, NC 28557
Phone (252) 222-5862

2000 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-8104

799 Doctors Ct
Roxboro, NC 27573
Phone (336) 599-4079

775 W Corbett Ave
Ste 2
Swansboro, NC 28584
Phone (252) 247-2101

Interoperability endpoints

  • Direct secure messaging: janero.ryan.1@847.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736121600000",
    "number": "1114736964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5105",
            "city": "BELFAST",
            "state": "ME",
            "postal_code": "049155100",
            "telephone_number": "910-332-3800"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3714 GUARDIAN AVE",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285572974",
            "telephone_number": "910-332-3800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RYAN",
        "first_name": "JENARO",
        "middle_name": "ADAM",
        "credential": "PHYSICIAN ASSISTANT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-01-06",
        "certification_date": "2025-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.