Individual provider Active NPI

Derek Ayers, D.O.

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1912340324
Registry record updated Oct 28, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015-00185 Issued in NC
Practice address
Medical Ceneter Blvd
Winston Salem, NC 27157-0001
Phone
(336) 716-3601
NPI assigned
Apr 16, 2013
Last updated
Oct 28, 2020By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 28, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X NC
Psychiatry Physician 2084P0800X 2015-00185 NC Primary

Addresses

Primary practice location

Medical Ceneter Blvd
Winston Salem, NC 27157-0001

Mailing address

Medical Ceneter Blvd
Winston Salem, NC 27157-0001

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address dayers445622@direct.novanthealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, TN, VA, SC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20170626000129 NC Practitioner - Psychiatry 6204148059 Reassigns benefits to 4 organizations
I20241111002222 TN Practitioner - Psychiatry 6204148059
I20260225002947 VA Practitioner - Psychiatry 6204148059 Reassigns benefits to 1 organization
I20260605001062 SC Practitioner - Psychiatry 6204148059 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1010 Bethesda CT
Winston Salem, NC 27103-3019
Phone (336) 277-6000

75 Baylor Dr
Suite 155
Bluffton, SC 29910-8965
Phone (843) 379-9913

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-00185NCMDPsychiatry Physician
5403TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Apogee Behavioral Medicine PC Psychiatry CurrentSince Sep 1, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Jul 1, 2017 Accepting new patients
Forsyth Memorial Hospital Inc Psychiatry CurrentSince Jul 17, 2018 Accepting new patients
NMG Health Services LLC CurrentSince Feb 15, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Apogee Behavioral Medicine Virginia PC Psychiatry CurrentSince Feb 1, 2026 Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Jul 1, 2017 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Psychiatry CurrentSince Feb 15, 2021 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Jul 17, 2018 Accepting new patients
Carolinas Pain Institute, PA Past Accepting new patients
Carolinas Pain Institute, PA Past Accepting new patients

Locations

15059 N Scottsdale Rd
Ste 600
Scottsdale, AZ 85254
Phone (602) 778-3601

1900 Randolph Rd
Ste 800
Charlotte, NC 28207
Phone (704) 941-4171

200 Hawthorne Ln
Charlotte, NC 28204
Phone (704) 377-2424

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

445 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 649-9000

13815 Professional Center Dr
Ste 100
Huntersville, NC 28078
Phone (704) 316-2050

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000

175 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 718-1006

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

530 Main St
Ste 307
Danville, VA 24541
Phone (865) 855-9910

Interoperability endpoints

  • Direct secure messaging: dayers445622@direct.novanthealth.org

Organizations & group practices 14

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.

View all 14

Hospital & facility affiliations 1

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": "1366070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603843200000",
    "number": "1912340324",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "MEDICAL CENETER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "MEDICAL CENETER BLVD",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271570001",
            "telephone_number": "336-716-3601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AYERS",
        "first_name": "DEREK",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-04-16",
        "last_updated": "2020-10-28",
        "certification_date": "2020-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": null,
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-00185",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "dayers445622@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "Medical Ceneter Blvd",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271570001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.