Active NPI
David Doyle Jr., MD
- Dermatology Physician
- Asheville, NC
National Provider Identifier
1811988736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2007-01039
- Practice address
- 1100 Tunnel Rd
Asheville, NC 28805-2576 - Phone
- (828) 298-7911
- Fax
- (706) 733-3376
- NPI assigned
- Oct 31, 2005
- Last updated
- Jun 16, 2022
- 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 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | 060064 | GA | |
| Dermatology Physician | 207N00000X | 2007-01039 | NC | Primary |
| Dermatology Physician | 207N00000X | 060064 | GA | |
| Pediatric Dermatology Physician | 207NP0225X | 060064 | GA | |
| Procedural Dermatology Physician | 207NS0135X | 060064 | GA | |
| General Practice Physician | 208D00000X | 060064 | GA |
Addresses
Primary practice location
1100 Tunnel Rd
Asheville, NC 28805-2576
Mailing address
2400 Bellevue Rd
Suite 21-a
Dublin, GA 31021-2885
Phone (478) 275-7202
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 468928695 | Medicaid | GA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2007-01039 | NC | MD | Dermatology Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130716800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1655337600000",
"number": "1811988736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2400 BELLEVUE RD",
"address_2": "SUITE 21-A",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212885",
"telephone_number": "478-275-7202",
"fax_number": "478-274-8418"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1100 TUNNEL RD",
"city": "ASHEVILLE",
"state": "NC",
"postal_code": "288052576",
"telephone_number": "828-298-7911",
"fax_number": "706-733-3376"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DOYLE",
"first_name": "DAVID",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-31",
"last_updated": "2022-06-16",
"certification_date": "2022-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "060064",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2007-01039",
"primary": true
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "060064",
"primary": false
},
{
"code": "207NP0225X",
"taxonomy_group": "",
"desc": "Dermatology, Pediatric Dermatology",
"state": "GA",
"license": "060064",
"primary": false
},
{
"code": "207NS0135X",
"taxonomy_group": "",
"desc": "Dermatology, Procedural Dermatology",
"state": "GA",
"license": "060064",
"primary": false
},
{
"code": "208D00000X",
"taxonomy_group": "",
"desc": "General Practice",
"state": "GA",
"license": "060064",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "468928695",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Asheville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.