Active NPI
Jaime J Vanourny, MD
- Dermatology Physician
- Gastonia, NC
National Provider Identifier
1508028093
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 201101796
- Practice address
- 959 Cox Rd
Gastonia, NC 28054-3420 - Phone
- (704) 866-7576
- Fax
- (704) 866-0106
- NPI assigned
- Jun 26, 2008
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | R8536 | IA | |
| Dermatology Physician | 207N00000X | 201101796 | NC | Primary |
Addresses
Primary practice location
959 Cox Rd
Gastonia, NC 28054-3420
Mailing address
1072 X Ray Dr
Gastonia, NC 28054-7488
Phone (704) 671-1094
Other practice location 1
13539 Reese Blvd W
Huntersville, NC 28078-7961
Phone (704) 892-4878
Other practice location 2
7476 Waterside Loop Rd
Denver, NC 28037-7679
Phone (704) 601-4381
Other names 1
- Jaime J Reiland
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
- Dermatology
- Education
- University of Iowa, RJ & L Carver College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
105 Delta Park Dr
Shelby, NC 28150-3575
Phone 7046711094101
959 Cox Rd
Gastonia, NC 28054-3420
Phone (704) 866-0106
Merit-based Incentive Payment System (MIPS)
- Final score
- 89.65 of 100
- Quality
- 91.92
- Promoting interoperability
- 94
- Improvement activities
- 40
- Cost
- 78.58
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 110 |
| Removal of skin lesions | 1268 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 604 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| R8536 | IA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Plastic Surgery and Dermatology | Dermatology | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Dermatology Physician
- Shelby, NC
- NPI 1316056104
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1214438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1693180800000",
"number": "1508028093",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1072 X RAY DR",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280547488",
"telephone_number": "704-671-1094",
"fax_number": "704-671-1095"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "959 COX RD",
"city": "GASTONIA",
"state": "NC",
"postal_code": "280543420",
"telephone_number": "704-866-7576",
"fax_number": "704-866-0106"
}
],
"practiceLocations": [
{
"address_1": "13539 Reese Blvd W",
"address_purpose": "LOCATION",
"city": "Huntersville",
"state": "NC",
"postal_code": "280787961",
"country_code": "US",
"telephone_number": "704-892-4878",
"fax_number": "704-892-7453",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "7476 Waterside Loop Rd",
"address_purpose": "LOCATION",
"city": "Denver",
"state": "NC",
"postal_code": "280377679",
"country_code": "US",
"telephone_number": "704-601-4381",
"fax_number": "704-822-5997",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANOURNY",
"first_name": "JAIME",
"middle_name": "J",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-06-26",
"last_updated": "2023-08-28",
"certification_date": "2023-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "IA",
"license": "R8536",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "201101796",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "JAIME",
"last_name": "REILAND",
"middle_name": "J",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Gastonia, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2023; 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.