Individual provider Active NPI

John Berry VII, M.D.

  • Anesthesiology Physician
  • Pinehurst, NC
National Provider Identifier
1164748927
Registry record updated Jun 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
2013-00004 Issued in NC
Practice address
35 Memorial Dr
Pinehurst, NC 28374
Phone
(910) 295-5676
Fax
(910) 295-5615
NPI assigned
Apr 19, 2010
Last updated
Jun 13, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 2013-00004 NC Primary

Addresses

Primary practice location

35 Memorial Dr
Pinehurst, NC 28374

Mailing address

90 Lake Dornoch Dr
Pinehurst, NC 28374-7109

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150810001042 NC Practitioner - Anesthesiology 9335453026 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
University of North Carolina at Chapel Hill School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Providence Anesthesiology Associates PAGroup PAC ID 3971566761, 218 clinicians

Practice addresses (Care Compare)

1918 Randolph Rd
Suite 740
Charlotte, NC 28207-1167
Phone (704) 316-0810

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
MCPC-6, LLC CurrentSince Dec 14, 2019 Accepting new patients
Ambulatory Anesthesia of Pinehurst, PA Anesthesiology CurrentSince Jul 27, 2015 Accepting new patients
Pinehurst Anesthesia Associates, PA Anesthesiology CurrentSince Jul 27, 2015 Accepting new patients
Providence Anesthesiology Associates, P.a. Anesthesiology CurrentSince Jan 1, 2022 Accepting new patients
MCPC-6, LLC CurrentSince Dec 14, 2019 Accepting new patients

Locations

610 N Fayetteville St
Ste 202
Asheboro, NC 27203
Phone (336) 308-2006

131 Providence Rd
Ste 200
Charlotte, NC 28207
Phone 70474958001101

1918 Randolph Rd
Ste 740
Charlotte, NC 28207
Phone (704) 316-0810

10 First Village Dr
Pinehurst, NC 28374
Phone (844) 278-5282

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

35 Memorial Dr
Pinehurst, NC 28374
Phone (910) 715-3376

4565 Fayetteville Rd
#B
Raeford, NC 28376
Phone (910) 878-5150

4565 Fayetteville Rd
Ste B
Raeford, NC 28376
Phone (910) 878-5150

1227 Carthage St
Sanford, NC 27330
Phone (919) 774-0665

522 Allen St
Ste 103
Troy, NC 27371
Phone (910) 571-5710

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1271635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528848000000",
    "number": "1164748927",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "90 LAKE DORNOCH DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283747109"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 MEMORIAL DR",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "28374",
            "telephone_number": "910-295-5676",
            "fax_number": "910-295-5615"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BERRY",
        "first_name": "JOHN",
        "name_prefix": "Dr.",
        "name_suffix": "VII",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-04-19",
        "last_updated": "2018-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2013-00004",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

Verify at the official NPI Registry.