Carl Jon Buchholz, MD

Primary specialty

Surgery PhysicianTaxonomy code 208600000X

License

2024-01440 Issued in NC

Practice address

1016 S South St
Mount Airy, NC 27030-5330

Phone

(336) 783-8900

Fax

(336) 786-3778

NPI assigned

Apr 22, 2019

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

General Surgery

Education

University of Virginia School of Medicine, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northern Hospital of Surry CountyGroup PAC ID 0244281749, 41 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Northern Regional Hospital Hospital, Mount Airy, NC, CCN 340003

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Northern Hospital of Surry County

  • Internal Medicine Physician
  • Mount Airy, NC
  • NPI 1114467404

  NC

  Medicare reassignment Care Compare group NPD
• Northern Hospital of Surry County

  • Obstetrics & Gynecology Physician
  • Mount Airy, NC
  • NPI 1043061559
  Care Compare group NPD
• Northern Hospital District of Surry County

  • Medicare Defined Swing Bed Hospital Unit
  • Mount Airy, NC
  • NPI 1811995186
  Care Compare group
• Northern Hospital District of Surry County

  • Skilled Nursing Facility
  • Mount Airy, NC
  • NPI 1932107547
  Care Compare group
• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282
  Care Compare group
• Northern Hospital of Surry County

  • Pediatrics Physician
  • Mount Airy, NC
  • NPI 1386495893
  Care Compare group
• Northern Hospital of Surry County

  • Orthopaedic Surgery Physician
  • Mount Airy, NC
  • NPI 1689114969
  Care Compare group
• Northern Hospital of Surry County

  • Surgery Physician
  • Mount Airy, NC
  • NPI 1700326089

  Surgery

  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Northern Hospital of Surry County

  • General Acute Care Hospital
  • Mount Airy, NC
  • NPI 1366449282

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1555891200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1629631908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1267",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270301267",
            "telephone_number": "480-322-5787",
            "fax_number": "336-786-3752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1016 S SOUTH ST",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270305330",
            "telephone_number": "336-783-8900",
            "fax_number": "336-786-3778"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1906 Belleview Ave SE",
            "address_purpose": "LOCATION",
            "city": "Roanoke",
            "state": "VA",
            "postal_code": "240141838",
            "country_code": "US",
            "telephone_number": "540-981-7000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BUCHHOLZ",
        "first_name": "CARL",
        "middle_name": "JON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-04-22",
        "last_updated": "2024-06-18",
        "certification_date": "2024-06-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "2024-01440",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Patricia L Brown, CCC-SLP
• Alison Michelle Bryant, PT
• Ashley M. Bryant, FNP-C
• Faye B Bryant, CRNA
• BT Heart and Vascular Center, PLLC
• Mallory Vaughn Bukas
• Matthew Ryan Bullerman, COTA
• Carmellia Thomas Bumgardner, LCSW
• Madeline Riley Buontempo, CRNA
• Candace Haymore Burcham, FNP

• All providers in Mount Airy, NC
• Surgery Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; 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.