Jason Elia Mastor, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

200401095 Issued in NC

Practice address

206 Joe V Knox Ave
Suite F
Mooresville, NC 28117-7911

Phone

(704) 662-6500

Fax

(704) 662-6503

NPI assigned

Sep 28, 2006

Sex

Male

Sole proprietor

No

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

Enrolled in NC

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Psychiatry

Education

Hahnemann University College of Medicine, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Piedmont Healthcare PAGroup PAC ID 9638070683, 226 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jasonmastor@phc.allscriptsdirect.net

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.

• Piedmont Healthcare, P.a.

  • Internal Medicine Physician
  • Statesville, NC
  • NPI 1912999897
  Medicare reassignment Care Compare group NPD
• Piedmont Healthcare, PA

  • Durable Medical Equipment & Medical Supplies
  • Statesville, NC
  • NPI 1639041320
  NPD
• Carolinas Counseling Solutions Inc.

  • Mental Health Counselor
  • Statesville, NC
  • NPI 1437388766
  NPD (past)
• Greenbrook TMS Winston-Salem LLC

  • Clinic/Center
  • Winston Salem, NC
  • NPI 1659879104
  NPD (past)
• Mental Health Provider Services LLC

  • Psychologist
  • Statesville, NC
  • NPI 1679708721
  NPD (past)

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

{
    "created_epoch": "1159401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283126400000",
    "number": "1598857401",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVE",
            "address_2": "SUITE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177911",
            "telephone_number": "704-662-6500",
            "fax_number": "704-662-6503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 JOE V KNOX AVE",
            "address_2": "SUITE F",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177911",
            "telephone_number": "704-662-6500",
            "fax_number": "704-662-6503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MASTOR",
        "first_name": "JASON",
        "middle_name": "ELIA",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-28",
        "last_updated": "2010-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "200401095",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8913799",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sarah Ann Martinez, PA-C
• Kristen Colarell Mason, APRN
• Jenny Marie Massaway, LCMHC
• Kurt Ashley Massey, DPM
• Mastor Mental Health and Associates PC
• Matas Counseling Services PLLC
• Kristin Leigh Matas
• Kevin Mateer
• Bruce S Mather, M.D.
• Megan Lane Mathis-Webb, AUD

• Psychiatry Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2010; 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.

Verify at the official NPI Registry.