Individual provider Active NPI

Jeffrey Robert Polgar, M.D.

  • Family Medicine Physician
  • Burnsville, NC
National Provider Identifier
1154396992
Registry record updated Jan 15, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200300681 Issued in NC
Practice address
2 S Main St
Burnsville, NC 28714-2929
Phone
(828) 678-9352
Fax
(828) 682-7866
NPI assigned
Feb 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 15, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200300681 NC Primary

Addresses

Primary practice location

2 S Main St
Burnsville, NC 28714-2929

Mailing address

PO Box 1240
Burnsville, NC 28714-1240
Phone (828) 678-9352

Other practice location 1

856 Georges Fork Rd
Burnsville, NC 28714-7842
Phone (828) 682-9675

Other identifiers 4

IdentifierTypeStateIssuer
P00370104OtherRAILROAD MEDICARE PTAN
89135V9MedicaidNC
135V9OtherNCBCBS NC
2031967AOtherNCMEDICARE PIN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.
Opted out of Medicare
Yes, effective Oct 1, 2015 through Oct 1, 2027

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
200300681NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Natus Peloton Incorporated CurrentSince Dec 18, 2014 Accepting new patients
Mountain Medical Arts PLLC Family Medicine CurrentSince Mar 25, 2004 Accepting new patients
Hospice of Yancey County, Inc. Family Medicine PastSince Aug 8, 2016 Accepting new patients
Memorycare PastSince Jul 5, 2006 Accepting new patients
Yancey Community Medical Services, Inc. Past Accepting new patients

Locations

2 S Main St
Burnsville, NC 28714
Phone (828) 284-3083

Interoperability endpoints

  • Direct secure messaging: jeffrey.polgar@64452452286468.direct.elationemr.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579046400000",
    "number": "1154396992",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1240",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287141240",
            "telephone_number": "828-678-9352",
            "fax_number": "828-682-7866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 S MAIN ST",
            "city": "BURNSVILLE",
            "state": "NC",
            "postal_code": "287142929",
            "telephone_number": "828-678-9352",
            "fax_number": "828-682-7866"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "856 Georges Fork Rd",
            "address_purpose": "LOCATION",
            "city": "Burnsville",
            "state": "NC",
            "postal_code": "287147842",
            "country_code": "US",
            "telephone_number": "828-682-9675",
            "fax_number": "828-682-4713",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "POLGAR",
        "first_name": "JEFFREY",
        "middle_name": "ROBERT",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2020-01-15",
        "certification_date": "2020-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200300681",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PTAN",
            "identifier": "P00370104",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89135V9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "135V9",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PIN",
            "identifier": "2031967A",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Burnsville, NC

Sources for this page

Verify at the official NPI Registry.