Alfred Douglas Earwood, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

33815 Issued in NC

Practice address

150 Park Ave
Banner Elk, NC 28604-6604

Phone

(828) 898-5177

Fax

(828) 898-8306

NPI assigned

Sep 13, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 5

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

Specialty

Family Practice

Education

Brody School of Medicine at East Carolina University, 1988

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Appalachian Regional Medical Associates IncGroup PAC ID 5799877817, 147 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Charles a Cannon Jr Memorial Hospital Hospital, Linville, NC, CCN 341323
• Watauga Medical Center Hospital, Boone, NC, CCN 340051

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: aearwood201305@direct.unc.nchie.net
• Direct secure messaging: alfredearwood@arhs.allscriptsdirect.net

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.

• Appalachian Regional Medical Associates, Inc.

  • Family Medicine Physician
  • Boone, NC
  • NPI 1669533923

  Family Medicine, NC

  Medicare reassignment Care Compare group NPD

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

• Charles a Cannon Jr Memorial Hospital Inc

  • Psychiatric Hospital Unit
  • Linville, NC
  • NPI 1407006968

  Hospital

  Care Compare affiliation
• Charles a Cannon Jr Memorial Hospital Inc.

  • Critical Access Hospital
  • Linville, NC
  • NPI 1225088255

  Hospital

  Care Compare affiliation
• Watauga Medical Center Inc

  • General Acute Care Hospital
  • Boone, NC
  • NPI 1205859766

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1126569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1307404800000",
    "number": "1699760959",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1568",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286041568",
            "telephone_number": "828-898-5177",
            "fax_number": "828-898-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 PARK AVE",
            "city": "BANNER ELK",
            "state": "NC",
            "postal_code": "286046604",
            "telephone_number": "828-898-5177",
            "fax_number": "828-898-8306"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EARWOOD",
        "first_name": "ALFRED",
        "middle_name": "DOUGLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-09-13",
        "last_updated": "2011-06-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "33815",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC BLUECROSSBLUESHIELD",
            "identifier": "29876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC RAILROAD MEDICARE",
            "identifier": "110094760",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "4406013",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8929876",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BLUECROSS & TENNCARE",
            "identifier": "178522",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Roberta Spencer Cook, M.D.
• Matthew Lee Cooper
• Arianne Marie Davis, LAT, ATC
• Taelor McKenzie Deike, FNP
• Thomas Philmore Dellinger IV
• Michelle Leigh Eggers
• Katherine Kragiel Elder, LCSW
• Elizabeth B. Hill, M.D., PLLC
• Elk River Medical Associates, PA
• Erling L Fredrickson, LISW-CP

• All providers in Banner Elk, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2011; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.