Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1366870347 Individual Practitioner Male Practitioner

Jay De Vera

Specialist • Clinton, NC

Professional Overview & Biography Verified Profile Summary

Jay De Vera is a registered healthcare professional specializing in Specialist in Clinton, NC. Practice services are available at 417 W ELIZABETH ST APT A under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

417 W Elizabeth St Apt A

Clinton, NC 283284465

Telephone 4435627065

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Clinton, NC

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 35.4 Yrs
Regional Practice Density
5 Specialists

Practicing in Clinton, NC (945 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License NC P12962

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active October 29, 2013

NPI status registered as active in NPPES database

📍
Updated Practice Location October 29, 2013

Registered at 417 W ELIZABETH ST APT A, CLINTON, NC 283284465 (Tel: 4435627065)

📍
Updated Business Mailing Address October 29, 2013

Registered at 417 W ELIZABETH ST APT A, CLINTON, NC 283284465 (Tel: 4435627065)

👤
Provider Name / Credentials Updated October 29, 2013

Recorded as JAY DE VERA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) October 29, 2013

Specialist (License #P12962 in NC)

🟢
Initial NPI Registration & Enumeration October 29, 2013

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1366870347
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: October 29, 2013
Last Update: October 29, 2013
Sole Proprietor: Yes

Mailing Address

417 W Elizabeth St Apt A

Clinton, NC 283284465

Phone: 4435627065

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.