Active NPI
Robert J Dayer, MD
- Family Medicine Physician
- Jacksonville, NC
National Provider Identifier
1265471296
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 2013-02129
- Practice address
- 2000 Barbham Avenue
Jacksonville, NC 28456 - Phone
- (910) 376-3030
- NPI assigned
- Jun 5, 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 056816 | GA | |
| Family Medicine Physician | 207Q00000X | 36518 | MN | |
| Family Medicine Physician | 207Q00000X | 2013-02129 | NC | Primary |
Addresses
Primary practice location
2000 Barbham Avenue
Jacksonville, NC 28456
Mailing address
PO Box 602484
Charlotte, NC 28260-2484
Phone (910) 376-3030
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 304565000 | Medicaid | MN |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20141029002385 | NC | Practitioner - Family Practice | 5799680922 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2013-02129 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Robert J. Dayer, M.D., PC | Family Medicine | Past | Accepting new patients |
| Altru Health System | Past | Accepting new patients |
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
112 Medical Village Dr
Ste G
Wallace, NC 28466
Phone (910) 285-0333
Interoperability endpoints
- vrhrdayer@yourcarecommunity.org
Organizations & group practices 3
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.
-
- Family Medicine Physician
- Glenwood, GA
- NPI 1093762700
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1491436800000",
"number": "1265471296",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 602484",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282602484",
"telephone_number": "910-376-3030"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2000 BARBHAM AVENUE",
"city": "JACKSONVILLE",
"state": "NC",
"postal_code": "28456",
"telephone_number": "910-376-3030"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DAYER",
"first_name": "ROBERT",
"middle_name": "J",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-06-05",
"last_updated": "2017-04-06",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "056816",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MN",
"license": "36518",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "2013-02129",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "304565000",
"state": "MN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Jacksonville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 6, 2017; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.