Nedra Helene Joyner, M.D.

Primary specialty

Otolaryngology PhysicianTaxonomy code 207Y00000X

License

D89726 Issued in MD

Practice address

4000 Mitchellville Rd Ste A414
Bowie, MD 20716-3142

Phone

(301) 860-0985

Fax

(301) 860-0978

NPI assigned

Nov 16, 2005

Last updated

Sep 11, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in IN

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

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.

• Eastside General Surgery LLC

  dba Eastside Surgical Associates

  • Specialist
  • Snellville, GA
  • NPI 1992869192
  NPD (past)
• Milton Hall Surgical Associates, LLC

  • Specialist
  • Alpharetta, GA
  • NPI 1649238460
  NPD (past)

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

{
    "created_epoch": "1132099200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1599782400000",
    "number": "1891777678",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A414",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163142",
            "telephone_number": "301-860-0985",
            "fax_number": "301-860-0978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4000 MITCHELLVILLE RD STE A414",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207163142",
            "telephone_number": "301-860-0985",
            "fax_number": "301-860-0978"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "9800 Valparaiso Dr",
            "address_purpose": "LOCATION",
            "city": "Munster",
            "state": "IN",
            "postal_code": "463214040",
            "country_code": "US",
            "telephone_number": "219-836-5800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOYNER",
        "first_name": "NEDRA",
        "middle_name": "HELENE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-11-16",
        "last_updated": "2020-09-11",
        "certification_date": "2020-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "MD",
            "license": "D89726",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "711135387A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036-069631-4",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Tiffany Jones, LCPC
• Yolonda Patrice Jones, CERTIFIED DOULA
• Lisa Jordan, DPT
• Foster Henley Joseph Jr., LGSW
• Joy Restored LLC
• Abimbola Lateefat Junaid, PMHNP
• Jwsmith
• Diaka Kaba
• Valerie A Kabba, LICSW
• Habsatu Aminata Kabia, PMHNP

• Otolaryngology Physician in Bowie, MD
• Providers in Bowie, MD by specialty
• Otolaryngology Physician in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.