Individual provider Active NPI

Joseph Michael Degulis, MD

  • Emergency Medicine Physician
  • Salisbury, NC
National Provider Identifier
1831162031
Registry record updated Jun 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
97-00228 Issued in NC
Practice address
255 Foresail Rd
Salisbury, NC 28146-9467
Phone
(704) 431-4922
NPI assigned
Feb 8, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 3, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 19025 SC
Emergency Medicine Physician 207P00000X 97-00228 NC Primary

Addresses

Primary practice location

255 Foresail Rd
Salisbury, NC 28146-9467

Mailing address

255 Foresail Rd
Salisbury, NC 28146-9467
Phone (704) 431-4922

Other identifiers 1

IdentifierTypeStateIssuer
E520949326OtherSCMEDICARE FOR SOUTH CAROLINA

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

LicenseStateTypeSpecialty
97-00228NCMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
JTDM Family Practice LLC Past Accepting new patients
Elkin Emergency Physicians, PLLC Emergency Medicine Past Accepting new patients
Clyde Emergency Solutions LLC Emergency Medicine Past Accepting new patients
Lima Memorial Joint Operating Company Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1139356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1622678400000",
    "number": "1831162031",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 FORESAIL RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281469467",
            "telephone_number": "704-431-4922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 FORESAIL RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281469467",
            "telephone_number": "704-431-4922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DEGULIS",
        "first_name": "JOSEPH",
        "middle_name": "MICHAEL",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-02-08",
        "last_updated": "2021-06-03",
        "certification_date": "2021-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "SC",
            "license": "19025",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "97-00228",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE FOR SOUTH CAROLINA",
            "identifier": "E520949326",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.