Individual provider Active NPI

Olugbemiga Ebenezer Jegede, M.D

  • Internal Medicine Physician
  • Greensboro, NC
National Provider Identifier
1003006503
Registry record updated Nov 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2014-00579 Issued in NC
Practice address
201 E Wendover Ave
Greensboro, NC 27401-1205
Phone
(336) 832-4444
Fax
(336) 832-4445
NPI assigned
Jul 31, 2007
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 2014-00579 NC Primary
Internal Medicine Physician 207R00000X 4301090347 MI

Addresses

Primary practice location

201 E Wendover Ave
Greensboro, NC 27401-1205

Mailing address

509 N Elam Ave # 3E
Greensboro, NC 27403-1129
Phone (810) 908-9996

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ojegede186443@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141014001668 NC Practitioner - Internal MedicinePractitioner - Pediatric Medicine 1951572312 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Pediatric Medicine
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, shared by 11 NPIs, 724 clinicians

Practice addresses (Care Compare)

2525 C Phillips Ave
Greensboro, NC 27405-5357
Phone (336) 832-7711

301 E Wendover Ave
Suite 315
Greensboro, NC 27401-1210
Phone (336) 832-4444

Hospital & facility affiliations

  • Moses H. Cone Memorial Hospital, the Hospital, Greensboro, NC, CCN 340091

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles (11 of 12)

OrganizationSpecialtyStatusNew patients
Moses Cone Physician Services, Inc. Internal Medicine Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 20, 2014 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Nov 16, 2021 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Apr 25, 2018 Accepting new patients
Center for Integrated Medicine, PLLC Internal Medicine CurrentSince Mar 1, 2019 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 26, 2015 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jun 26, 2015 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Jul 20, 2014 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients
Moses Cone Physician Services Inc Past Accepting new patients

Locations

2400 W Friendly Ave
Greensboro, NC 27403
Phone (336) 832-1100

301 E Wendover Ave
Ste 315
Greensboro, NC 27401
Phone (336) 379-8377

509 N Elam Ave
#3E
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

2525 Phillips Ave
#C
Greensboro, NC 27405
Phone (336) 832-7711

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

201 E Wendover Ave
Greensboro, NC 27401
Phone (336) 275-6318

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

Networks

  • devoted network organization-92131eb0-09f2-4173-a140-cf7b381f0cf1

Interoperability endpoints

  • Direct secure messaging: ojegede186443@direct.conehealth.com
  • FHIR API: https://api.platform.athenahealth.com/25837/brand/1/csg/1/fhir/r4
  • FHIR API: https://epsoap.conehealth.com/FHIRProxy/api/FHIR/R4/

Organizations & group practices 11

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1185840000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1636502400000",
    "number": "1003006503",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N ELAM AVE # 3E",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274031129",
            "telephone_number": "810-908-9996"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 E WENDOVER AVE",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011205",
            "telephone_number": "336-832-4444",
            "fax_number": "336-832-4445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEGEDE",
        "first_name": "OLUGBEMIGA",
        "middle_name": "EBENEZER",
        "name_prefix": "Dr.",
        "credential": "M.D",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-07-31",
        "last_updated": "2021-11-10",
        "certification_date": "2021-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2014-00579",
            "primary": true
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "MI",
            "license": "4301090347",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ojegede186443@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "201 E Wendover Ave",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011205",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.