James M Quayle, M.D.

Individual provider Active NPI Family Medicine Physician · Old Fort, NC

NPI 1699953877 · NPPES record last updated Jan 25, 2022

Key facts

NPI
1699953877
Entity type
Individual (NPI type 1)
Primary specialty
Family Medicine Physician 207Q00000X
License
39867 (NC)
Practice address
32 E Main St
Old Fort, NC 28762-0017
Phone
(678) 314-6281
NPI assigned
Feb 9, 2008
Sex
Male
Sole proprietor
No

Organizations & group practices 2

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
027427GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kootenai Health, Inc. Past Accepting new patients
Kootenai Health, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jamesquaylemd@direct.msj.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X M9051 ID
Family Medicine Physician 207Q00000X 027427 GA
Family Medicine Physician 207Q00000X 39867 NC Yes

Addresses

Primary practice location

32 E Main St
Old Fort, NC 28762-0017

Mailing address

32 E Main St
Old Fort, NC 28762-0017

Electronic endpoints

TypeEndpointUseAffiliation
Direct Messaging Address jamesquaylemd@Direct.msj.org

Other providers in Old Fort, NC

All providers in Old Fort, NC · Family Medicine Physician in North Carolina

Sources for this page

Verify at the official NPI Registry.