Active NPI
Sidney L Myles, MD
- Internal Medicine Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 200501179
- Practice address
- 929 15TH St NE
Suite 100
Hickory, NC 28601-4161 - Phone
- (828) 325-0555
- Fax
- (828) 267-7555
- NPI assigned
- Apr 19, 2006
- Last updated
- Feb 19, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 200501179 | NC | Primary |
| Psychiatry Physician | 2084P0800X | 200501179 | NC |
Addresses
Primary practice location
929 15TH St NE
Suite 100
Hickory, NC 28601-4161
Mailing address
PO Box 1447
Hickory, NC 28603-1447
Phone (828) 325-0555
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 140N5 | Other | NC | BCBS |
| 600019014 | Other | MAGELLAN | |
| P00839051 | Other | NC | RAILROAD MEDICARE |
| 5901852 | Medicaid | NC | |
| 511804 | Other | MANAGED HEALTH NETWORK |
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
Care Compare profile
Medicare Care Compare- Specialty
- Psychiatry
- Education
- Brody School of Medicine at East Carolina University, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1120 Fairgrove Church Rd
Suite 12
Hickory, NC 28602-9630
Phone (828) 326-2828
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200501179 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Catawba Valley Medical Center | Psychiatry | Current | Accepting new patients |
| Catawba Valley Medical Center | Current | Accepting new patients |
Locations
1120 Fairgrove Church Rd
Ste 12
Hickory, NC 28602
Phone (828) 326-2828
1771 Tate Blvd SE
Ste 103
Hickory, NC 28602
Phone (828) 322-1128
810 Fairgrove Church Rd
Hickory, NC 28602
Phone (704) 326-3000
Organizations & group practices 2
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.
-
dba Catawba Valley Psychiatric Services
- Psychiatry Physician
- Hickory, NC
- NPI 1497792469
-
- Health Educator
- Hickory, NC
- NPI 1518524818
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Hickory, NC
- NPI 1164495255
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145404800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424304000000",
"number": "1447215900",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1447",
"city": "HICKORY",
"state": "NC",
"postal_code": "286031447",
"telephone_number": "828-325-0555",
"fax_number": "828-267-7555"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "929 15TH ST NE",
"address_2": "SUITE 100",
"city": "HICKORY",
"state": "NC",
"postal_code": "286014161",
"telephone_number": "828-325-0555",
"fax_number": "828-267-7555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYLES",
"first_name": "SIDNEY",
"middle_name": "L",
"name_prefix": "Mr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-04-19",
"last_updated": "2015-02-19",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "200501179",
"primary": true
},
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200501179",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "140N5",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MAGELLAN",
"identifier": "600019014",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00839051",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5901852",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MANAGED HEALTH NETWORK",
"identifier": "511804",
"state": null
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2015; 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.