Jerry Evan Coy, CRNA

Primary specialty

Certified Registered Nurse AnesthetistTaxonomy code 367500000X

License

106170 Issued in NC

Practice address

111 Hospital Dr
Tarboro, NC 27886-2011

Phone

(252) 641-7170

Fax

(252) 641-7373

NPI assigned

Nov 6, 2006

Last updated

Aug 31, 2007By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Amsol Anesthetists of Henderson PLLC

  • Anesthesiology Physician
  • Henderson, NC
  • NPI 1447408026
  NPD (past)

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

{
    "created_epoch": "1162771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188518400000",
    "number": "1255410593",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 DEVONSHIRE LN",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284098111",
            "telephone_number": "910-392-6902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 HOSPITAL DR",
            "city": "TARBORO",
            "state": "NC",
            "postal_code": "278862011",
            "telephone_number": "252-641-7170",
            "fax_number": "252-641-7373"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COY",
        "first_name": "JERRY",
        "middle_name": "EVAN",
        "name_prefix": "Dr.",
        "credential": "CRNA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-06",
        "last_updated": "2007-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "367500000X",
            "taxonomy_group": "",
            "desc": "Nurse Anesthetist, Certified Registered",
            "state": "NC",
            "license": "106170",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "NC",
            "license": "106170",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• County of Edgecombe Office of Auditor (Edgecombe Homecare & Hospice)
• County of Edgecombe Office of Auditor (Edgecombe County Health Department)
• County of Edgecombe Office of Auditor
• County of Edgecombe Office of Auditor (Edgecombe County EMS)
• Karen Coward, M.D.
• Created for This Doula Services LLC
• Cristen's Caring Corner LLC
• Lakiesha Cross
• Wendy Loraine Cubero, EDS.
• Cultivating Change, LLC

• Certified Registered Nurse Anesthetist in Tarboro, NC
• Providers in Tarboro, NC by specialty
• Certified Registered Nurse Anesthetist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.