Individual ProviderPayal GoyalNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersPractice Address9800 Kincey Ave Ste 150, Huntersville, NC 28078-8405(704) 332-0396(704) 971-7099PECOS EnrollmentBased on the most recent information from CMS, provider Payal Goyal is legally eligible to order and refer claims for Part B, HHA, DME and PMD services.Part BMedicare Part BEnrolledHHAHome Health AgencyEnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records today at 10:49 AM.Profile DetailsProvider ID1578173902Provider TypeIndividualFull NameGoyal, PayalGenderFemaleSole ProprietorNoEnumeration Date7/31/2020Last Updated4/14/2025Contact InformationPractice LocationPractice Address9800 Kincey Ave Ste 150, Huntersville, NC 28078-8405Phone(704) 332-0396FaxUnlisted FaxMailing LocationMailing Address3158 Freedom Dr Ste 3102, Charlotte, NC 28208-0014Phone(704) 971-7099Fax(704) 971-0035Provider TaxonomiesCodeDescriptionLicenseCode363LF0000XPrimaryDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense5015158North CarolinaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense27914TennesseeCode363LF0000XDescriptionNurse PractitionerPhysician Assistants & Advanced Practice Nursing ProvidersLicense27914Tennessee