Individual provider Active NPI

Patricia Kenney Doyle, PA

  • Physician Assistant
  • High Point, NC
National Provider Identifier
1699755041
Registry record updated Feb 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
02386 Issued in NC
Practice address
810 N Lindsay St
High Point, NC 27262-3902
Phone
(336) 802-2060
Fax
(336) 802-2061
NPI assigned
Jan 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 02386 NC Primary

Addresses

Primary practice location

810 N Lindsay St
High Point, NC 27262-3902

Mailing address

1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2400

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090423000756 NC Practitioner - Physician Assistant 2466500848 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3120 Northline Ave
Greensboro, NC 27408-7814

601 N Elm St
High Point, NC 27262-4331
Phone (336) 716-2734

Medical Ctr Blvd
Winston Salem, NC 27157-0001
Phone (336) 716-2734

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
02386NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Cornerstone Health Care, PA CurrentSince Apr 13, 2000 Accepting new patients
Wake Forest Health Network, LLC CurrentSince Apr 13, 2000 Accepting new patients
Wake Forest University Health Sciences CurrentSince Apr 1, 2019 Accepting new patients
Cornerstone Health Care PA Past Accepting new patients
Eagle Physicians and Associates PA Past Accepting new patients

Locations

2311 Lewisville Clemmons Rd
Clemmons, NC 27012
Phone (336) 713-0400

3120 Northline Ave
Ste 102
Greensboro, NC 27408
Phone (336) 716-1957

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

5826 Samet Dr
Ste 101
High Point, NC 27265
Phone (336) 878-6540

1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400

810 N Lindsay St
High Point, NC 27262
Phone (336) 802-2060

1814 Westchester Dr
Ste 203
High Point, NC 27262
Phone (336) 702-1355

13 Medical Park Dr
Lexington, NC 27292
Phone (336) 236-4000

1188 Yadkinville Rd
Mocksville, NC 27028
Phone (336) 716-7435

1900 W Park Dr
Ste B
North Wilkesboro, NC 28659
Phone (336) 903-6840

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: pdoyle2755555@carolinashealthcaresystem.direct-ci.com

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1137715200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1298851200000",
    "number": "1699755041",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1701 WESTCHESTER DRIVE",
            "address_2": "SUITE 850",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272627254",
            "telephone_number": "336-802-2400",
            "fax_number": "336-802-2534"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "810 N LINDSAY ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272623902",
            "telephone_number": "336-802-2060",
            "fax_number": "336-802-2061"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "PATRICIA",
        "middle_name": "KENNEY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-20",
        "last_updated": "2011-02-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "02386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.