NPIMap

Individual provider Active NPI

Alyssa Michelle Kraynie, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Clyde, NC
National Provider Identifier
1649537655
Registry record updated Feb 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
2016-00088 Issued in NC
Practice address
262 Leroy George Dr
Lboratory
Clyde, NC 28721
Phone
(828) 452-8115
Fax
(828) 452-8922
NPI assigned
Apr 15, 2012
Last updated
Feb 20, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Cytopathology Physician 207ZC0500X 2016-00088 NC
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 2016-00088 NC Primary

Addresses

Primary practice location

262 Leroy George Dr
Lboratory
Clyde, NC 28721

Mailing address

PO Box 1867
Bluefield, WV 24701-5867

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171108003927 NC Practitioner - Pathology 2062778947 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
JC Edwards School of Medicine, Marshall University, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Mountain Area Pathology PAGroup PAC ID 2567490832, 13 clinicians

Practice addresses (Care Compare)

509 Biltmore Ave
Asheville, NC 28801-4601
Phone (828) 213-1111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2016-00088NCMDCytopathology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Greensboro Pathology, LLC CurrentSince Nov 1, 2022 Accepting new patients
Professional Clinical Laboratory Services, PLLC CurrentSince Aug 1, 2023 Accepting new patients
Mid-Atlantic Pathology Services, Inc. Anatomic Pathology & Clinical Pathology Current Accepting new patients
Mountain Area Pathology PA Anatomic Pathology & Clinical Pathology CurrentSince Aug 1, 2023 Accepting new patients
Pathologists Medical Laboratory, P.a. CurrentSince Aug 1, 2023 Accepting new patients
Greensboro Pathology, LLC CurrentSince Nov 1, 2022 Accepting new patients

Locations

11025 Rca Center Dr
Ste 300
Palm Beach Gardens, FL 33410
Phone (561) 383-3820

10 Medical Park Dr
Asheville, NC 28803
Phone (828) 253-0762

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

706 Green Valley Rd
Ste 104
Greensboro, NC 27408
Phone (336) 271-4930

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 7

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

NPI Registry JSON

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

{
    "created_epoch": "1334448000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550620800000",
    "number": "1649537655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1867",
            "city": "BLUEFIELD",
            "state": "WV",
            "postal_code": "247015867"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "262 LEROY GEORGE DR",
            "address_2": "LBORATORY",
            "city": "CLYDE",
            "state": "NC",
            "postal_code": "28721",
            "telephone_number": "828-452-8115",
            "fax_number": "828-452-8922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KRAYNIE",
        "first_name": "ALYSSA",
        "middle_name": "MICHELLE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-04-15",
        "last_updated": "2019-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZC0500X",
            "taxonomy_group": "",
            "desc": "Pathology, Cytopathology",
            "state": "NC",
            "license": "2016-00088",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "NC",
            "license": "2016-00088",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clyde, NC

Sources for this page

Verify at the official NPI Registry.