Individual provider Active NPI

Jeffrey Byrd

  • Pediatrics Physician
  • Goldsboro, NC
National Provider Identifier
1699758557
Registry record updated Nov 7, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
2005-00413 Issued in NC
Practice address
2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494
Phone
(919) 587-4394
Fax
(919) 587-2998
NPI assigned
Nov 23, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 2005-00413 NC Primary

Addresses

Primary practice location

2700 Wayne Memorial Dr
Goldsboro, NC 27534-9494

Mailing address

105 Yadkin St
Albemarle, NC 28001-3449

Other practice location 1

105 Yadkin St
Suite 303
Albemarle, NC 28001-3449
Phone (980) 323-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jbyrd73416@direct.UNC.nchie.net Direct

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
I20050406001017 NC Practitioner - Pediatric Medicine 0547217036 Reassigns benefits to 5 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2005-00413NCMDPediatrics Physician
23878SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Feb 14, 2023 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Carolinas Medical Center CurrentSince May 13, 2021 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Sep 5, 2016 Accepting new patients
East Carolina University Pediatrics CurrentSince Jan 1, 2023 Accepting new patients
Carolinas Physicians Network Inc Current Accepting new patients
Carolinas Medical Center Pediatrics CurrentSince May 13, 2021 Accepting new patients
Unc Physicians Network LLC Pediatrics CurrentSince Mar 3, 2024 Accepting new patients
Unc Physicians Network LLC CurrentSince Mar 3, 2024 Accepting new patients
Carolinas Medical Center Pediatrics Current Accepting new patients
East Carolina University Current Accepting new patients
Carolinas Physician Network Inc Pediatrics CurrentSince Sep 5, 2016 Accepting new patients
Purcell Clinic, PA Past Accepting new patients
The Purcell Clinic, PA Pediatrics Past Accepting new patients
Children'S Health Services, P.a. Pediatrics Past Accepting new patients

Locations

105 Yadkin St
Ste 303
Albemarle, NC 28001
Phone (704) 982-2683

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

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

211 Virginia Rd
Edenton, NC 27932
Phone (252) 384-2590

2700 Wayne Memorial Dr
Goldsboro, NC 27534
Phone (919) 731-6060

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

Interoperability endpoints

  • Direct secure messaging: jeff.byrd.1@16083.direct.athenahealth.com
  • Direct secure messaging: jbyrd310509@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jbyrd@purcellclinic.opdirect.net
  • Direct secure messaging: jbyrd73416@direct.unc.nchie.net

Organizations & group practices 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1132704000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730937600000",
    "number": "1699758557",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 YADKIN ST",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280013449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 WAYNE MEMORIAL DR",
            "city": "GOLDSBORO",
            "state": "NC",
            "postal_code": "275349494",
            "telephone_number": "919-587-4394",
            "fax_number": "919-587-2998"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Yadkin St",
            "address_2": "Suite 303",
            "address_purpose": "LOCATION",
            "city": "Albemarle",
            "state": "NC",
            "postal_code": "280013449",
            "country_code": "US",
            "telephone_number": "980-323-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BYRD",
        "first_name": "JEFFREY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-23",
        "last_updated": "2024-11-07",
        "certification_date": "2024-11-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2005-00413",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jbyrd73416@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "2700 Wayne Memorial Dr",
            "city": "Goldsboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "275349494",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Goldsboro, NC

Sources for this page

Verify at the official NPI Registry.