JILL CONWAY (NPI# 1205991502) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1205991502 |
| Entity Type | Individual |
| Full Name | JILL CONWAY |
| Credential | MD |
| Practice Address |
1918 Randolph Rd Ste 400 Charlotte NC 28207-1196 |
| Mailing Address |
Po Box 60447 Charlotte NC 28260-0447 |
| Practice Telephone | 7043849437 |
| Practice Fax Number | 7043849440 |
| Mailing Telephone | 7043849437 |
| Mailing Fax Number | 7043849440 |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2020-10-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
200801181 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084N0400X |
Psychiatry & Neurology Specialization: Neurology |
2008-01181 | NC | Allopathic & Osteopathic Physicians |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1010 Edgehill Rd N, Charlotte, NC 282071885 | 7044461900 | |
| 1350 S Kings Dr, Charlotte, NC 282072134 | 7044461900 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033526652 | Jill Conway | Counselor | 2654 Lamar Ave # 1, Paris, TX 75460-4847 | 2014-07-15 |
| 1518156256 | Jill Marisa Conway | Social Worker | 1505 4th St, 219, Santa Monica, CA 90401-2347 | 2007-10-18 |
| 1811147374 | Jill Conway | Social Worker | 16 School St, Suite Lower Level, Rye, NY 10580-2952 | 2008-09-22 |
| 1255308656 | Jill K. Conway | Physician Assistant | 5939 Harry Hines Blvd, Suite 400, Mail Code 9191, Dallas, TX 75390-9191 | 2006-03-03 |
| Street Address |
1918 RANDOLPH RD STE 400 |
| City | CHARLOTTE |
| State | NC |
| Zip Code | 28207-1196 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538229679 | Yves Laure Damis | Physician Assistant | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2006-12-11 |
| 1720686686 | Johnny Chia-chi Chang | Pharmacist | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2020-10-13 |
| 1770027906 | Lori Aylwin | Nurse Practitioner | 1918 Randolph Rd Ste 400, Charlotte, NC 28207 | 2016-12-07 |
| 1861735896 | Donna Chemana Navey | Nurse Practitioner | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2013-03-28 |
| 1609100650 | Nancy Clanton Watson | Clinical Neuropsychologist | 1918 Randolph Rd Ste 400, Charlotte, NC 28207 | 2009-09-23 |
| 1013146828 | Alisa Barnes | Physician Assistant | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2009-07-14 |
| 1316165475 | Joshua Thomas Billingsley | Neurological Surgery | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2007-04-23 |
| 1548393564 | Nora D Schuette | Physician Assistant | 1918 Randolph Rd Ste 400, Charlotte, NC 28207-1196 | 2007-03-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1013560739 | Louis Roncaglione | Dentist | 8815 Christenbury Pkway, Concord, NC 28207 | 2019-07-22 |
| 1619430014 | Khrystyna Levytska | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Ob/gyn, 1350 S. Kings Dr., Charlotte, NC 28207 | 2019-04-11 |
| 1649743584 | Carolinas Hometown Respiratory LLC | Durable Medical Equipment & Medical Supplies | 1005 South Kings Drive, Charlotte, NC 28207 | 2019-01-03 |
| 1023584489 | Herron and Smith Associates, Pllc | Dentist | 135 Perrin Place, Suite 100, Charlotte, NC 28207 | 2018-10-23 |
| 1588161640 | Lauren Mogk | Student in an Organized Health Care Education/Training Program | Myers Park Clinical Internal Medicine, 1350 S. Kings Dr., 3rd Floor, Charlotte, NC 28207 | 2018-04-06 |
| 1518462241 | Sarah Hollyn Carlock | Student in an Organized Health Care Education/Training Program | Myers Park Clinic Internal Medicine, 1350 S Kings Dr, 3rd Floor, Charlotte, NC 28207 | 2018-03-26 |
| 1083118178 | Claire Milam | Student in an Organized Health Care Education/Training Program | Cmc/department of Emergency Medicine, 100 Blythe Blvd, Charlotte, NC 28207 | 2018-03-22 |
| 1811422256 | Complete Care At Dartmouth LLC | Skilled Nursing Facility | 300 Province Road, Charlotte, NC 28207 | 2017-04-24 |
| 1063945467 | Kaitlyn O'keefe | Internal Medicine | 1350 S. Kings Dr., 3rd Floor, Myers Park Clinic Internal Medicine, Charlotte, NC 28207 | 2017-04-04 |
| 1811432024 | Advanced Prosthetics of Easley, Inc | Durable Medical Equipment & Medical Supplies | 2310 Randolph Rd Ste A, Charlotte, NC 28207 | 2016-12-23 |
| Find all providers in zip 28207 | ||||
| Taxonomy Code | 2084N0400X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Neurology |
| A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1578056057 | Novant Medical Group, Inc. | Psychiatry & Neurology | 15033 Ballancroft Pkwy Ste 200, Charlotte, NC 28277-4944 | 2018-06-11 |
| 1477992063 | Neil Ghanshyam Patel | Psychiatry & Neurology | 2801 Randolph Rd Ste 101, Charlotte, NC 28211-1051 | 2013-06-18 |
| 1437444346 | Megan Tudor Donnelly | Psychiatry & Neurology | 2801 Randolph Road Suite 101, Charlotte, NC 28211 | 2011-06-20 |
| 1992983589 | Sheela Myers | Psychiatry & Neurology | 10660 Park Road, Suite 4400, Charlotte, NC 28210 | 2008-02-05 |
| 1720161011 | Michael M Amiri | Psychiatry & Neurology | 1300 Baxter St Ste 114, Charlotte, NC 28204-3806 | 2006-10-23 |
| 1144321373 | Henry Joseph Horacek Jr. | Psychiatry & Neurology | 10716 Carmel Commons Blvd, Suite 120, Charlotte, NC 28226-3783 | 2006-09-26 |
| 1659322691 | Mohammad R. Bolouri | Psychiatry & Neurology | 7809 Sardis Rd, Charlotte, NC 28270-2757 | 2006-05-15 |
| 1013968858 | Richard David Jacobson | Psychiatry & Neurology | 4228 Brookfield Dr, Charlotte, NC 28210 | 2006-05-15 |
| 1306896592 | Kenneth Todd Ashkin | Psychiatry & Neurology | 8045 Providence Rd Ste 200, Charlotte, NC 28277-9724 | 2006-05-11 |
| 1336199587 | Thor Erik Borresen | Psychiatry & Neurology | 1900 Scott Ave, Charlotte, NC 28203-6046 | 2006-05-10 |
| Find all providers in CHARLOTTE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.