| Jerry Dale Nix, MD | |
|
501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 | |
| (704) 377-2424 | |
| (704) 377-2687 |
| Full Name | Jerry Dale Nix |
|---|---|
| Gender | Male |
| Speciality | Emergency Medicine |
| Location | 501 S Sharon Amity Rd Ste 300, Charlotte, North Carolina |
| Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1083668495 | NPI | - | NPPES |
| 930067199 | Other | NC | RR MEDICARE |
| 89-62710 | Medicaid | NC | |
| 62710 | Other | NC | BCBSNC |
| N00314 | Medicaid | SC |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207P00000X | Emergency Medicine | 94-00314 (North Carolina) | Primary |
| Entity Name | Cfvhs Ed Physicians |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1215931589 PECOS PAC ID: 2961316237 Enrollment ID: O20031119000605 |
| Entity Name | Mid-atlantic Emergency Medical Associates Pllc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1073562757 PECOS PAC ID: 4880686823 Enrollment ID: O20040331000927 |
| Mailing Address | Practice Location Address |
|---|---|
| Jerry Dale Nix, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424 | Jerry Dale Nix, MD 501 S Sharon Amity Rd Ste 300, Charlotte, NC 28211-0035 Ph: (704) 377-2424 |
Chelsea Kolshak, Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
Nicole Hadley, DO Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 136 E 36t St Suite 200, Charlotte, NC 28206 Phone: 704-801-3400 | |
Neha Ray, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3181 Fax: 704-355-7047 | |
Dr. Hannah Elizabeth Corral, MD Emergency Medicine Medicare: Medicare Enrolled Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-3658 | |
John B Clark Jr., M.D. Emergency Medicine Medicare: Not Enrolled in Medicare Practice Location: 1900 Randolph Rd, Ste 900, Charlotte, NC 28207 Phone: 704-377-2424 Fax: 704-377-2687 | |
Kevin Hale Black, DDS, MD Emergency Medicine Medicare: May Accept Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2000 | |
Nilesh K. Patel, MD Emergency Medicine Medicare: Accepting Medicare Assignments Practice Location: 1000 Blythe Blvd, Charlotte, NC 28203 Phone: 704-355-2171 |