Active NPI
Jeffrey A Katz, P.A.
- Physician Assistant
- Taylorsville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 100418
- Practice address
- 1668 N C Highway 16 South
Taylorsville, NC 28681 - Phone
- (828) 632-9736
- Fax
- (828) 632-9544
- NPI assigned
- Jul 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 100418 | NC | Primary |
Addresses
Primary practice location
1668 N C Highway 16 South
Taylorsville, NC 28681
Mailing address
1668 N C Highway 16 South
Taylorsville, NC 28681
Phone (828) 632-9736
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 970019668 | Other | NC | RAILROAD MEDICARE |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- New York University School of Medicine, 1976
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
Statesville, NC 28677
Phone (704) 838-2182
1540 E Broad St
Statesville, NC 28625-4302
766 Hartness Rd
Suite B
Statesville, NC 28677-3479
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Care Center, P.a | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Current | Accepting new patients | |
| Iredell Physician Network LLC | Past | Accepting new patients | |
| Iredell Physician Network, LLC | Past | Accepting new patients |
Locations
653 Bluefield Rd
Ste A
Mooresville, NC 28117
Phone (704) 360-6460
1540 E Broad St
Statesville, NC 28625
Phone (704) 230-4382
766 Hartness Rd
Statesville, NC 28677
Phone (704) 838-2182
1668 NC Highway 16 S
Taylorsville, NC 28681
Phone (828) 632-9736
Interoperability endpoints
- jeffrey.katz@iredell.cernerdirect.com
- jeffreykatz@imhi.allscriptsdirect.net
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 and National Provider Directory roles.
-
- General Practice Physician
- Statesville, NC
- NPI 1811381593
-
- Rural Health Clinic/Center
- Taylorsville, NC
- NPI 1497908925
-
- Diagnostic Radiology Physician
- Mooresville, NC
- NPI 1326620410
-
- Otolaryngology Physician
- Statesville, NC
- NPI 1447063920
-
- Family Medicine Physician
- Mooresville, NC
- NPI 1780822288
-
- Occupational Medicine Clinic/Center
- Mooresville, NC
- NPI 1780061424
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152057600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1211328000000",
"number": "1285665703",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1668 N C HIGHWAY 16 SOUTH",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "28681",
"telephone_number": "828-632-9736",
"fax_number": "828-632-9544"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1668 N C HIGHWAY 16 SOUTH",
"city": "TAYLORSVILLE",
"state": "NC",
"postal_code": "28681",
"telephone_number": "828-632-9736",
"fax_number": "828-632-9544"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KATZ",
"first_name": "JEFFREY",
"middle_name": "A",
"name_prefix": "Mr.",
"credential": "P.A.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-05",
"last_updated": "2008-05-21",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "100418",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "970019668",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Taylorsville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2008; 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.