Douglas Landry Jarvis, M.D.

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

2020-02933 Issued in NC

Practice address

12611 N Community House Rd Ste 100
Charlotte, NC 28277-3817

Phone

(704) 316-3410

NPI assigned

Jun 2, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

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

Specialty

Orthopedic SurgeryAlso: Sports Medicine

Education

Other, 2014

Medicare assignment

May accept Medicare assignment

Group practices

Comprehab, IncGroup PAC ID 2769653757, 376 clinicians

Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health Ballantyne Medical Center Hospital, Charlotte, NC, CCN 340195
• Novant Health Matthews Medical Center Hospital, Matthews, NC, CCN 340171

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Novant Health Medical Group, LLC

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492

  NC

  Medicare reassignment Care Compare group NPD
• Carolina Medicorp Enterprises, LLC

  • Urgent Care Clinic/Center
  • Charlotte, NC
  • NPI 1760950646

  NC

  Medicare reassignment NPD
• Comprehab LLC

  • Physical Therapist
  • Gastonia, NC
  • NPI 1407932775
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot & Ankle Surgery Podiatrist
  • Thomasville, NC
  • NPI 1235715582
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Clemmons, NC
  • NPI 1295110906
  Care Compare group
• Novant Health Medical Group, LLC

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Kernersville, NC
  • NPI 1386029254
  Care Compare group
• Novant Health Medical Group, LLC

  • Primary Podiatric Medicine Podiatrist
  • Winston Salem, NC
  • NPI 1427398023
  Care Compare group
• Novant Health Medical Group, LLC

  • Neurological Surgery Physician
  • Winston Salem, NC
  • NPI 1497080006
  Care Compare group
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Wake Forest, NC
  • NPI 1659571768
  Care Compare group
• Novant Health Medical Group, LLC

  • Family Medicine Physician
  • Salisbury, NC
  • NPI 1750534038
  Care Compare group
• Novant Health Medical Group, LLC

  • Foot Surgery Podiatrist
  • Winston Salem, NC
  • NPI 1851776728
  Care Compare group

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health Ballantyne Medical Center LLC

  • General Acute Care Hospital
  • Charlotte, NC
  • NPI 1740998020

  Hospital

  Care Compare affiliation
• Novant Health Matthews Medical Center LLC

  • General Acute Care Hospital
  • Matthews, NC
  • NPI 1063463156

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1401667200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1194137612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12611 N COMMUNITY HOUSE RD STE 100",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282773817",
            "telephone_number": "704-316-3410"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1 Medical Center Blvd",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271570001",
            "country_code": "US",
            "telephone_number": "336-716-2011",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JARVIS",
        "first_name": "DOUGLAS",
        "middle_name": "LANDRY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-06-02",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2020-02933",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djarvis819481@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1 Medical Center Blvd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271570001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Benjamin Paul Jarrett, MD
• Chris Jarrett
• Jamal Jarrett, MD
• Sahithi Jarugula, MBBS
• Charleen Jarvis, LPC, NCC
• Ericka G Jarvis, M.S., LCMHC
• Jason D Creek
• Jason R. Nelsen DDS PLLC
• Jasper Psychological Services, PLLC
• Alvin Jasper

• All providers in Charlotte, NC
• Orthopaedic Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2020; 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.

Verify at the official NPI Registry.