Organization Active NPI

Jay Synn MD PLLC

  • Psychiatry Physician
  • Hickory, NC
National Provider Identifier
1578871430
Registry record updated Sep 14, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
200000321 Issued in NC
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, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2010

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

Authorized official

Name
Jay Synn, MDNPI 1518026160
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)CodeLicenseStatePrimary
Psychiatry PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
891256FMedicaidNC

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.