Individual provider Active NPI

Earl Joseph Myers, M.D.

  • Emergency Medicine Physician
  • Salisbury, NC
National Provider Identifier
1669420022
Registry record updated Oct 25, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
200000913 Issued in NC
Practice address
1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177
Phone
(704) 638-1551
Fax
(704) 638-1553
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 200000913 NC Primary

Addresses

Primary practice location

1904 Jake Alexander Blvd W Ste 301
Salisbury, NC 28147-1177

Mailing address

PO Box 751803
Charlotte, NC 28275-1803

Other identifiers 3

IdentifierTypeStateIssuer
89127PNMedicaidNC
Q0091FMedicaidSC
127PNOtherNCBCBS

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emyers706574@direct.novanthealth.org

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20090311000743 NC Practitioner - Emergency Medicine 5799841060 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000913NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Western Carolina Emergency Physicians, PLLC Emergency Medicine CurrentSince Mar 1, 2009 Accepting new patients
The Carolinas Emergency Group, PLLC Emergency Medicine CurrentSince May 1, 2014 Accepting new patients
Piedmont Emergency Medical Associates, PA Emergency Medicine Past Accepting new patients
North Carolina Em-I Medical Services PC Past Accepting new patients
University Hospitals Cleveland Medical Center Past Accepting new patients

Locations

301 Yadkin St
Albemarle, NC 28001
Phone (704) 984-4000

600 Hospital Dr
Monroe, NC 28112
Phone (704) 283-3100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: earl.myers.1@14089.direct.athenahealth.com

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603584000000",
    "number": "1669420022",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1904 JAKE ALEXANDER BLVD W STE 301",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281471177",
            "telephone_number": "704-638-1551",
            "fax_number": "704-638-1553"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MYERS",
        "first_name": "EARL",
        "middle_name": "JOSEPH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2020-10-25",
        "certification_date": "2020-09-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "200000913",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89127PN",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "Q0091F",
            "state": "SC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "127PN",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emyers706574@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1904 Jake Alexander Blvd W Ste 301",
            "city": "Salisbury",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281471177",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

Verify at the official NPI Registry.