Jerel A Pittman

Primary specialty

Non-emergency Medical Transport (VAN)Taxonomy code 343900000X

Practice address

7628 N Tryon St
Charlotte, NC 28262-5056

Phone

(980) 636-4965

Fax

(980) 299-2152

NPI assigned

May 10, 2019

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1557446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557446400000",
    "number": "1487210977",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7628 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625056",
            "telephone_number": "980-636-4965"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7628 N TRYON ST",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282625056",
            "telephone_number": "980-636-4965",
            "fax_number": "980-299-2152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PITTMAN",
        "first_name": "JEREL",
        "middle_name": "A",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-05-10",
        "last_updated": "2019-05-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "343900000X",
            "taxonomy_group": "",
            "desc": "Non-emergency Medical Transport (VAN)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "14039424",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Eleanor Elizabeth Pitchford, MD
• Rhonda Pitcock
• Lynn Christine Pitson, MD
• Ban S Pitt, PT
• Damaris Edmonstone Pittman, LM, CPM
• Katy Nicole Pittman
• Keith Daniel Pittman, NP
• Lacy Pittman
• Makayla Pittman, LCSWA
• Ruby A Pittman, LCSW

• Non-emergency Medical Transport (VAN) in Charlotte, NC
• Providers in Charlotte, NC by specialty
• Non-emergency Medical Transport (VAN) in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2019; 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.