Individual provider Active NPI

Jason Edward Nolan, D.P.M.

  • Podiatrist
  • Cary, NC
National Provider Identifier
1780650812
Registry record updated Sep 28, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
36.003433 Issued in OH
Practice address
103 Parkway Office Court
Suite 100
Cary, NC 27518-7429
Phone
(919) 481-3338
Fax
(919) 467-2436
NPI assigned
Feb 28, 2006
Last updated
Sep 28, 2011By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 36.003433 OH Primary
Foot & Ankle Surgery Podiatrist 213ES0103X 36.003433 OH

Addresses

Primary practice location

103 Parkway Office Court
Suite 100
Cary, NC 27518-7429

Mailing address

103 Parkway Office Court
Suite 100
Cary, NC 27518-7429
Phone (919) 481-3338

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100106000411 NC Practitioner - Podiatry 7214021682 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

103 Pkwy Office CT
Suite 100
Cary, NC 27518-7429
Phone (919) 481-3338

1418 E Millbrook Rd
Raleigh, NC 27609-4812
Phone (919) 850-9111

Merit-based Incentive Payment System (MIPS)

Final score
88.95 of 100Reported as group
Promoting interoperability
87
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue1-10
Removal of skin lesions1-10
Removal of nail tissue1648
Removal or shaving of skin growth821

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
36.003433OHMDFoot & Ankle Surgery Podiatrist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Foot and Ankle Specialists of the Mid-Atlantic, LLC Podiatrist CurrentSince Jan 1, 2020 Accepting new patients
Robert M Cropper DPM PA Podiatrist Past Accepting new patients

Locations

1001 Pemberton Hill Rd
Ste 102
Apex, NC 27502
Phone (919) 362-1836

1 Medical Dr
Benson, NC 27504
Phone (919) 207-1027

103 Parkway Office Ct
Cary, NC 27518
Phone (908) 892-6793

103 Parkway Office Ct
Ste 100
Cary, NC 27518
Phone (919) 481-3338

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

700 Tilghman Dr
Ste 722
Dunn, NC 28334
Phone (910) 892-1068

1418 E Millbrook Rd
Raleigh, NC 27609
Phone (919) 850-9111

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1141084800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1317168000000",
    "number": "1780650812",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE COURT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-481-3338",
            "fax_number": "919-467-2436"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 PARKWAY OFFICE COURT",
            "address_2": "SUITE 100",
            "city": "CARY",
            "state": "NC",
            "postal_code": "275187429",
            "telephone_number": "919-481-3338",
            "fax_number": "919-467-2436"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NOLAN",
        "first_name": "JASON",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "D.P.M.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-28",
        "last_updated": "2011-09-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "OH",
            "license": "36.003433",
            "primary": true
        },
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "OH",
            "license": "36.003433",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cary, NC

Sources for this page

Verify at the official NPI Registry.