Active NPI
Earl Joseph Myers, M.D.
- Emergency Medicine Physician
- Salisbury, NC
National Provider Identifier
1669420022
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 200000913
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 89127PN | Medicaid | NC | |
| Q0091F | Medicaid | SC | |
| 127PN | Other | NC | BCBS |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200000913 | NC | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Carolina Emergency Physicians, PLLC | Emergency Medicine | Current | Accepting new patients |
| The Carolinas Emergency Group, PLLC | Emergency Medicine | Current | 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
- https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
- 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.
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- Emergency Medicine Physician
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-
- General Acute Care Hospital
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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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2020; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.