Active NPI
Nancy J Astle, MD
- Dermatology Physician
- Huntersville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 9400198
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 01056 | Other | NC | BCBS NC |
| 070007019A | Other | RAILROAD 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Piedmont Plastic Surgery & Dermatology PA | Dermatology | Current | Accepting new patients |
| Piedmont Plastic Surgery and Dermatology | Dermatology | Past | 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.
-
- Dermatology Physician
- Gastonia, NC
- NPI 1801832837
-
- Dermatology Physician
- Shelby, NC
- NPI 1316056104
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 28, 2023; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.