Individual provider Active NPI

Nancy J Astle, MD

  • Dermatology Physician
  • Huntersville, NC
National Provider Identifier
1740286178
Registry record updated Mar 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Dermatology PhysicianTaxonomy code 207N00000X
License
9400198 Issued in NC
Practice address
13539 Reese Blvd W Ste B
Huntersville, NC 28078-7961
Phone
(704) 892-4878
Fax
(704) 892-7453
NPI assigned
Jun 21, 2005
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 28, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Dermatology Physician 207N00000X 9400198 NC Primary

Addresses

Primary practice location

13539 Reese Blvd W Ste B
Huntersville, NC 28078-7961

Mailing address

1072 X Ray Dr Ste B
Gastonia, NC 28054-7488
Phone (704) 671-1094

Other identifiers 2

IdentifierTypeStateIssuer
01056OtherNCBCBS NC
070007019AOtherRAILROAD MEDICARE

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
I20100122000329 NC Practitioner - Dermatology 1153463500 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Plastic Surgery & Dermatology PA Dermatology CurrentSince Jun 1, 2018 Accepting new patients
Piedmont Plastic Surgery and Dermatology Dermatology PastSince Jul 1, 1994 Accepting new patients

Locations

19900 W Catawba Ave
Ste B
Cornelius, NC 28031
Phone 7046711094101

1072 X Ray Dr
Gastonia, NC 28054
Phone (704) 671-1094

959 Cox Rd
Gastonia, NC 28054
Phone (704) 866-0106

1072 X Ray Dr
Ste B
Gastonia, NC 28054
Phone (704) 671-1094

13539 Reese Blvd W
Ste B
Huntersville, NC 28078
Phone (704) 892-4878

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.

NPI Registry JSON

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

{
    "created_epoch": "1119312000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1679961600000",
    "number": "1740286178",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1072 X RAY DR STE B",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280547488",
            "telephone_number": "704-671-1094",
            "fax_number": "704-671-1095"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13539 REESE BLVD W STE B",
            "city": "HUNTERSVILLE",
            "state": "NC",
            "postal_code": "280787961",
            "telephone_number": "704-892-4878",
            "fax_number": "704-892-7453"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ASTLE",
        "first_name": "NANCY",
        "middle_name": "J",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-06-21",
        "last_updated": "2023-03-28",
        "certification_date": "2023-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "9400198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "01056",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "070007019A",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntersville, NC

Sources for this page

Verify at the official NPI Registry.