Individual provider Active NPI

Byron Keith Strother, M.D., J.D.

  • Psychiatry Physician
  • Morganton, NC
National Provider Identifier
1174582563
Registry record updated Apr 23, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2008-00531 Issued in NC
Practice address
123 Wamsutta Mill Rd Ste D
Morganton, NC 28655-5521
Phone
(828) 475-4327
Fax
(866) 492-9528
NPI assigned
Mar 22, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 23, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X MD425694 PA
Psychiatry Physician 2084P0800X 2008-00531 NC Primary
Psychiatry Physician 2084P0800X D00075007 MD

Addresses

Primary practice location

123 Wamsutta Mill Rd Ste D
Morganton, NC 28655-5521

Mailing address

123 Wamsutta Mill Rd Ste D
Morganton, NC 28655-5521
Phone (828) 475-4327

Other identifiers 4

IdentifierTypeStateIssuer
225129OtherMEDCOST PROVIDER NUMBER
2650154OtherCIGNA PROVIDER NUMBER
5910683MedicaidNC
151U3OtherBCBS NC PROVIDER NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20081115000022 NC Practitioner - Psychiatry 6608936042 Practice locations: Morganton, NC
I20180417001730 SC Practitioner - Psychiatry 6608936042

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

122 Gateway Blvd C
Mooresville, NC 28117-5544

123 Wamsutta Mill Rd
Suite D
Morganton, NC 28655-5521

123 Wamsutta Mill Rd D
Morganton, NC 28655-5521
Phone (828) 475-4327

544 Conley Rd
Morganton, NC 28655-6028

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
D00075007MDMDPsychiatry Physician
2008-00531NCMDPsychiatry Physician
MD425694PAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lifeworks Professional Corporation Past Accepting new patients
Brian S Hissom and Associates PLLC PastSince Oct 16, 2018 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: integrativewellnesssolutions.byronkeithstrother@146232.advancedmd-direct.com

Organizations & group practices 2

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": "1142985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398211200000",
    "number": "1174582563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 WAMSUTTA MILL RD STE D",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555521",
            "telephone_number": "828-475-4327"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 WAMSUTTA MILL RD STE D",
            "city": "MORGANTON",
            "state": "NC",
            "postal_code": "286555521",
            "telephone_number": "828-475-4327",
            "fax_number": "866-492-9528"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STROTHER",
        "first_name": "BYRON",
        "middle_name": "KEITH",
        "name_prefix": "Dr.",
        "credential": "M.D., J.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-22",
        "last_updated": "2014-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "PA",
            "license": "MD425694",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2008-00531",
            "primary": true
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D00075007",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "225129",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "2650154",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5910683",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC PROVIDER NUMBER",
            "identifier": "151U3",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Morganton, NC

Sources for this page

Verify at the official NPI Registry.