Individual provider Active NPI

Raymond A Azbell II, MD

  • Emergency Medicine Physician
  • Valdese, NC
National Provider Identifier
1972564466
Registry record updated Jul 20, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
32983 Issued in NC
Practice address
720 Malcolm Blvd
Valdese, NC 28690
Phone
(843) 237-3378
Fax
(843) 237-5073
NPI assigned
Apr 1, 2006
Last updated
Jul 20, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 32983 NC Primary

Addresses

Primary practice location

720 Malcolm Blvd
Valdese, NC 28690

Mailing address

PO Box 60356
Charlotte, NC 28260-0356
Phone (843) 237-3378

Other identifiers 3

IdentifierTypeStateIssuer
12343OtherNCBCBS
8912343MedicaidNC
930093370OtherNCRAILROAD

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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

Enrollment IDStateProvider typePAC IDDetails
I20090818000860 TN Practitioner - Emergency Medicine 7618908468 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
32983NCMDPharmacist
14818TNMDWomen's Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
App of Tennessee Ed, PLLC Emergency Medicine CurrentSince Nov 11, 2019 Accepting new patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2014 Accepting new patients
Frye Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Blue Ridge Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Morganton Anesthesia Partners, PLLC Past Accepting new patients
Blue Ridge Emergency Medical Associates LLC Emergency Medicine Past Accepting new patients
Fletcher Emergency Services, LLC Emergency Medicine Past Accepting new patients

Locations

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500

2305 Chambliss Ave NW
Cleveland, TN 37311
Phone (423) 559-6000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

907 Lamar Alexander Pkwy
Maryville, TN 37804
Phone (865) 766-8818

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.

NPI Registry JSON

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

{
    "created_epoch": "1143849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248048000000",
    "number": "1972564466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60356",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600356",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "720 MALCOLM BLVD",
            "city": "VALDESE",
            "state": "NC",
            "postal_code": "28690",
            "telephone_number": "843-237-3378",
            "fax_number": "843-237-5073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "AZBELL",
        "first_name": "RAYMOND",
        "middle_name": "A",
        "name_suffix": "II",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-01",
        "last_updated": "2009-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "32983",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "12343",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8912343",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD",
            "identifier": "930093370",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdese, NC

Sources for this page

Verify at the official NPI Registry.