Dr Neal H Guffey Jr, MD - Medicare Family Practice in Sparta, NC

Dr Neal H Guffey Jr, MD is a medicare enrolled "Family Medicine" physician in Sparta, North Carolina. He went to University Of South Carolina School Of Medicine and graduated in 1992 and has 32 years of diverse experience with area of expertise as Family Practice. He is a member of the group practice Premier Geriatric Solutions Pllc and his current practice location is 158 Chestnut Grove Church Rd, Sparta, North Carolina. You can reach out to his office (for appointments etc.) via phone at (800) 765-7130.

Dr Neal H Guffey Jr is licensed to practice in North Carolina (license number 9500489) and he also participates in the medicare program. He accepts medicare assignments (which means he accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance) and his NPI Number is 1184776155.

Contact Information

Dr Neal H Guffey Jr, MD
158 Chestnut Grove Church Rd,
Sparta, NC 28675-9731
(800) 765-7130
Not Available

Map and Direction




Physician's Profile

Full NameDr Neal H Guffey Jr
GenderMale
SpecialityFamily Practice
Experience32 Years
Location158 Chestnut Grove Church Rd, Sparta, North Carolina
Accepts Medicare AssignmentsYes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance.
  Medical Education and Training:
  • Dr Neal H Guffey Jr attended and graduated from University Of South Carolina School Of Medicine in 1992
  NPI Data:
  • NPI Number: 1184776155
  • Provider Enumeration Date: 01/18/2007
  • Last Update Date: 06/08/2023
  Medicare PECOS Information:
  • PECOS PAC ID: 9032141262
  • Enrollment ID: I20050908000316

Medical Identifiers

Medical identifiers for Dr Neal H Guffey Jr such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1184776155NPI-NPPES
1184776155MedicaidNC

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
207QA0401XFamily Medicine - Addiction Medicine 9500489 (North Carolina)Secondary
207Q00000XFamily Medicine 9500489 (North Carolina)Primary

Medical Facilities Affiliation

Facility NameLocationFacility Type
Mountain Valley Hospice & Palliative CarePilot mountain, NCHospice
Hospice & Palliative Care CtrWinston salem, NCHospice
Autumn Care Of DrexelMorganton, NCNursing home
Village Care Of KingKing, NCNursing home

Group Practice Association

Group Practice NameGroup PECOS PAC IDNo. of Members
Premier Geriatric Solutions Pllc307294027963

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Dr Neal H Guffey Jr allows following entities to bill medicare on his behalf.
Entity NameEleanor Health Professional Nc Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1891349155
PECOS PAC ID: 5799017943
Enrollment ID: O20191022000310
Entity NamePai Participant 29, P.c.
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1245813757
PECOS PAC ID: 6002216215
Enrollment ID: O20210609002615
Entity NamePremier Geriatric Solutions Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1568093672
PECOS PAC ID: 3072940279
Enrollment ID: O20210624000938
Entity NameHospitalist Medicine Physicians Of Washington Tacoma Pllc
Entity TypePart B Supplier - Clinic/group Practice
Entity IdentifiersNPI Number: 1740911585
PECOS PAC ID: 5395126270
Enrollment ID: O20240220001804

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Dr Neal H Guffey Jr is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Dr Neal H Guffey Jr, MD
15 Yorkshire St, Suite 201,
Asheville, NC 28803-7783

Ph: (828) 274-1600
Dr Neal H Guffey Jr, MD
158 Chestnut Grove Church Rd,
Sparta, NC 28675-9731

Ph: (800) 765-7130

Reviews and Comments


Family Medicine Doctors in Sparta, NC

Denise Absher Bryant, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 214 Doctor Street, Sparta, NC 28675
Phone: 336-372-5606    Fax: 336-372-6211
Georgia Latham, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 393 N Main St, Sparta, NC 28675
Phone: 336-372-7575    Fax: 336-372-7540
Mr. Richard Brian Ambler, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 157 Health Services Rd, Sparta, NC 28675
Phone: 336-372-5641    Fax: 336-372-7793
Dr. Mary Carol Digel, MD
Family Medicine
Medicare: Accepting Medicare Assignments
Practice Location: 214 Doctors St, Sparta, NC 28675
Phone: 336-372-5606    Fax: 336-372-6211
Mr. Jack Richard Cahn, MD
Family Medicine
Medicare: Not Enrolled in Medicare
Practice Location: 214 Doctors St, Sparta, NC 28675
Phone: 336-372-5606    Fax: 336-372-6211
Jessica Royd Ange, MD
Family Medicine
Medicare: May Accept Medicare Assignments
Practice Location: 157 Health Services Rd, Sparta, NC 28675
Phone: 336-372-5641    

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.