Individual provider Active NPI

Jeffrey A Katz, P.A.

  • Physician Assistant
  • Taylorsville, NC
National Provider Identifier
1285665703
Registry record updated May 21, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
100418 Issued in NC
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

Updated by the provider on May 21, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
970019668OtherNCRAILROAD 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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100629000434 NC Practitioner - Physician Assistant 9638200025 Reassigns benefits to 1 organization

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
Iredell Physician Network LLCGroup PAC ID 0749345007, 91 clinicians

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

OrganizationSpecialtyStatusNew patients
Family Care Center, P.a Current Accepting new patients
Iredell Physician Network LLC CurrentSince Sep 1, 2015 Accepting new patients
Iredell Physician Network LLC CurrentSince Sep 1, 2015 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

  • Direct secure messaging: jeffrey.katz@iredell.cernerdirect.com
  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.