Jonathan G Austin, M.D.
Individual provider Active NPI Emergency Medicine Physician · Linville, NC
NPI 1154370807 · NPPES record last updated Sep 4, 2018
Key facts
- NPI
- 1154370807
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Emergency Medicine Physician 207P00000X
- License
- 9501480 (NC)
- Practice address
- 434 Hospital Drive
Linville, NC 28646 - Phone
- (336) 716-2255
- NPI assigned
- May 9, 2006
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Hospital & facility affiliations 3
Medicare Care Compare profile
- Specialty
- Emergency Medicine
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Sheridan Emergency Physician Services Inc
Practice addresses (Care Compare)
1210 S Old Dixie Hwy
Jupiter, FL 33458-7205
Phone (954) 939-5000
Hospital & facility affiliations
- Manatee Memorial Hospital
- Lakeside Medical Center
- Jupiter Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in NC, FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050827000054 | NC | Practitioner - Emergency Medicine | 4688605884 | Reassigns benefits to 1 organization |
| I20250423002904 | FL | Practitioner - Emergency Medicine | 4688605884 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 19537 | SC | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Elite Medical Services at Lakeside LLC | Emergency Medicine | Current |
Accepting new patients |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current |
Accepting new patients |
| Wake Forest Emergency Providers | Current |
Accepting new patients | |
| Sheridan Emergency Physician Services Inc | Emergency Medicine | Current |
Accepting new patients |
| Forsyth Emergency Services, P.a. | Emergency Medicine | Past | Accepting new patients |
| Spruce Pine Emergency Services PLLC | Emergency Medicine | Past | Accepting new patients |
| Mid-Atlantic Emergency Medical Associates, PLLC | Emergency Medicine | Past | Accepting new patients |
Locations
39200 Hooker Hwy
Belle Glade, FL 33430
Phone (561) 992-9477
1210 S Old Dixie Hwy
Jupiter, FL 33458
Phone (561) 743-5073
1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000
Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | 9501480 | NC | Yes |
Addresses
Primary practice location
434 Hospital Drive
Linville, NC 28646
Mailing address
PO Box 344
Winston Salem, NC 27102-0344
Phone (336) 716-2255
Other practice location 1
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 718-2314
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 12280 | Other | NC | BCBSNC |
| 8912280 | Medicaid | NC | |
| 195372 | Other | SC | SC MEDICAID |
| P00270529 | Other | NC | RR MEDICARE |
Other providers in Linville, NC
- Appalachian Regional Behavioral Healthcare Inc
- Appalachian Regional Behavioral Healthcare Inc
- Appalachian Regional Medical Associates, Inc.
- Appalachian Regional Medical Associates, Inc.
- Appalachian Regional Medical Associates, Inc.
- Avery Pharmacy & Healthcare Inc
- Charles Edwin Baker Jr.
- Mark Bardou
- Joseph David Barker
- Juainta Beaston
All providers in Linville, NC · Emergency Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 4, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.