NPIMap

Individual provider Active NPI

Joylyn Yeazell, M.D.

  • Family Medicine Physician
  • Pinetops, NC
National Provider Identifier
1821445446
Registry record updated Jan 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
02257 Issued in NC
Practice address
1473 NC 42 43 W
Pinetops, NC 27864-7188
Phone
(252) 827-5231
Fax
(252) 827-5775
NPI assigned
May 24, 2016
Last updated
Jan 6, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 6, 2022

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X MD467729 PA
Family Medicine Physician 207Q00000X 02257 NC Primary
Family Medicine Physician 207Q00000X 83237 SC

Addresses

Primary practice location

1473 NC 42 43 W
Pinetops, NC 27864-7188

Mailing address

1473 NC 42 43 W
Pinetops, NC 27864-7188
Phone (252) 827-5231

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jyeazell357507@direct.vidanthealth.com

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20190805000697 PA Practitioner - Family Practice 0143566307 Reassigns benefits to 1 organization
I20210826001121 NC Practitioner - Family Practice 0143566307 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of North Carolina at Chapel Hill School of Medicine, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1473 NC 42
Pinetops, NC 27864-7188
Phone (252) 827-5231

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD467729PAMDFamily Medicine Physician
83237SCMDFamily Medicine Physician
02257NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lehigh Valley Physician Group CurrentSince Jul 15, 2019 Accepting new patients
Lehigh Valley Physician Group Family Medicine CurrentSince Jul 15, 2019 Accepting new patients
Lehigh Valley Physician Group Family Medicine Current Accepting new patients
Vidant Medical Group LLC CurrentSince Aug 30, 2021 Accepting new patients
East Carolina Health - Heritage Inc CurrentSince Aug 30, 2021 Accepting new patients
New Horizon Family Health Services Inc. PastSince Sep 10, 2023 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

1473 NC 42 43 W
Pinetops, NC 27864
Phone (252) 641-8585

14351 Kutztown Rd
Fleetwood, PA 19522
Phone (610) 944-8800

Interoperability endpoints

  • Direct secure messaging: jyeazell357507@direct.vidanthealth.com

Organizations & group practices 7

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.

Hospital & facility affiliations 5

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1464048000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641427200000",
    "number": "1821445446",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1473 NC 42 43 W",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278647188",
            "telephone_number": "252-827-5231",
            "fax_number": "252-827-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1473 NC 42 43 W",
            "city": "PINETOPS",
            "state": "NC",
            "postal_code": "278647188",
            "telephone_number": "252-827-5231",
            "fax_number": "252-827-5775"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "YEAZELL",
        "first_name": "JOYLYN",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-24",
        "last_updated": "2022-01-06",
        "certification_date": "2021-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "PA",
            "license": "MD467729",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "02257",
            "primary": true
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "83237",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jyeazell357507@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Pinetops, NC

Sources for this page

Verify at the official NPI Registry.