Active NPI
Paul E Trombley, MD
- Pediatrics Physician
- Charlotte, NC
National Provider Identifier
1164593604
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 2014-01928
- Practice address
- 231 S Sharon Amity Rd
Charlotte, NC 28211-2803 - Phone
- (704) 304-6400
- Fax
- (704) 442-7021
- NPI assigned
- Nov 13, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 2014-01928 | NC | |
| Pediatrics Physician | 208000000X | 2014-01928 | NC | Primary |
| Child & Adolescent Psychiatry Physician | 2084P0804X | 2014-01928 | NC |
Addresses
Primary practice location
231 S Sharon Amity Rd
Charlotte, NC 28211-2803
Mailing address
PO Box 602148
Charlotte, NC 28260-2148
Phone (704) 304-6400
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1164593604 | Medicaid | NC | |
| NC2601 | Medicaid | SC |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Pediatric Medicine
- Education
- University of Tennessee, HSC, College of Medicine, 1996
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
600 Julian LN
Suite 640
Arden, NC 28704-7812
Phone (828) 552-3504
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2014-01928 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Prospect Behavioral Pediatrics and Psychiatry | Psychiatry | Current | Accepting new patients |
| DLP Rutherford Physician Practices LLC | Pediatrics | Current | Accepting new patients |
| DLP Rutherford Physician Practices LLC | Current | Accepting new patients | |
| Charles J. McGraw MD, LTD | Past | Accepting new patients | |
| St. Joseph Primary Care, LLC | Pediatrics | Past | Accepting new patients |
Locations
600 Julian Ln
Ste 640
Arden, NC 28704
Phone (828) 552-3504
288 S Ridgecrest Ave
Rutherfordton, NC 28139
Phone (252) 808-6000
Interoperability endpoints
- paul.trombley.1@12749.direct.athenahealth.com
- https://api.platform.athenahealth.com/12749/brand/1/csg/1/fhir/r4
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.
-
- Child & Adolescent Psychiatry Physician
- Arden, NC
- NPI 1215301569
-
- Family Medicine Physician
- Forest City, NC
- NPI 1962821322
Pediatrics
-
- Rural Health Clinic/Center
- Rutherfordton, NC
- NPI 1720849391
-
- Family Medicine Physician
- Arden, NC
- NPI 1528264231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163376000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455494400000",
"number": "1164593604",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602148",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602148",
"telephone_number": "704-304-6400",
"fax_number": "704-442-7021"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "231 S SHARON AMITY RD",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282112803",
"telephone_number": "704-304-6400",
"fax_number": "704-442-7021"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TROMBLEY",
"first_name": "PAUL",
"middle_name": "E",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-11-13",
"last_updated": "2016-02-15",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "2014-01928",
"primary": false
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "2014-01928",
"primary": true
},
{
"code": "2084P0804X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
"state": "NC",
"license": "2014-01928",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1164593604",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC2601",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.