Active NPI
Perry Lester Bartelt, MD
- Family Medicine Physician
- Statesville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 30995
- Practice address
- 276 Old Mocksville Rd
Suite 400
Statesville, NC 28625-1949 - Phone
- (704) 878-6592
- NPI assigned
- Jan 11, 2006
- Last updated
- Aug 7, 2023
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 30995 | NC | Primary |
Addresses
Primary practice location
276 Old Mocksville Rd
Suite 400
Statesville, NC 28625-1949
Mailing address
650 Signal Hill Drive Ext
PO Box 1845
Statesville, NC 28625-4353
Phone (704) 873-4277
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6913595 | Medicaid | NC |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20050822000149 | NC | Practitioner - Family Practice | 6709816069 |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Wake Forest University School of Medicine, 1984
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
Practice addresses (Care Compare)
276 Old Mocksville Rd
Suite 400
Statesville, NC 28625-1949
650 Signal Hill Dr Ext
Statesville, NC 28625-4353
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 1-10 |
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30995 | NC | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Mid-Atlantic Emergency Medical Associates, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Emergency Medicine Physician
- Charlotte, NC
- NPI 1073562757
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Iredell Home Health
- Home Health Agency
- Statesville, NC
- NPI 1215986260
-
- General Acute Care Hospital
- Statesville, NC
- NPI 1417944224
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1136937600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691366400000",
"number": "1760461529",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "650 SIGNAL HILL DRIVE EXT",
"address_2": "PO BOX 1845",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286254353",
"telephone_number": "704-873-4277",
"fax_number": "704-873-4511"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "276 OLD MOCKSVILLE RD",
"address_2": "SUITE 400",
"city": "STATESVILLE",
"state": "NC",
"postal_code": "286251949",
"telephone_number": "704-878-6592"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BARTELT",
"first_name": "PERRY",
"middle_name": "LESTER",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-11",
"last_updated": "2023-08-07",
"certification_date": "2023-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "30995",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "6913595",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Statesville, NC
- Barium Springs Home for Children Targeted Case Management
- Sarah Cochran Barker, FNP-C
- Nathan Dale Barkley, FNP
- Julie Barnett, LPN
- Gloria Ostafy Bartelt, MPH, R.D., L.D.
- Bartlett Grigsby Boan & Assoc PLLC (Peak Eye Care)
- Rick Dale Bartlett, OD
- Carl Lee Bass III, D.D.S.
- Be the Change Counseling and Consultation Services PLLC
- Beam & Chapman Inc (Southside Drug Company)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 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.
- 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.