Active NPI
Jay Synn MD PLLC
- Psychiatry Physician
- Hickory, NC
National Provider Identifier
1578871430
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 200000321
- Legal business name
- JAY SYNN MD PLLC
- Practice address
- 24 2ND Ave NE
Suite 201
Hickory, NC 28601-5045 - Phone
- (828) 324-9900
- Fax
- (828) 324-8322
- NPI assigned
- Sep 14, 2010
- Last updated
- Sep 14, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Jay Synn, MD
- Title
- Single MBR
- Phone
- (828) 324-9900
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | 200000321 | NC | Primary |
Addresses
Primary practice location
24 2ND Ave NE
Suite 201
Hickory, NC 28601-5045
Mailing address
3626 Links Dr NE
Conover, NC 28613-9427
Phone (828) 324-9900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891256F | Medicaid | NC |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Psychiatry Physician
- Hickory, NC
- NPI 1518026160
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1284422400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1284422400000",
"number": "1578871430",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3626 LINKS DR NE",
"city": "CONOVER",
"state": "NC",
"postal_code": "286139427",
"telephone_number": "828-324-9900",
"fax_number": "828-324-8322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "24 2ND AVE NE",
"address_2": "SUITE 201",
"city": "HICKORY",
"state": "NC",
"postal_code": "286015045",
"telephone_number": "828-324-9900",
"fax_number": "828-324-8322"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JAY SYNN MD PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-09-14",
"last_updated": "2010-09-14",
"status": "A",
"authorized_official_last_name": "SYNN",
"authorized_official_first_name": "JAY",
"authorized_official_title_or_position": "SINGLE MBR",
"authorized_official_telephone_number": "828-324-9900",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "NC",
"license": "200000321",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891256F",
"state": "NC"
}
],
"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 Sep 14, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.