Mary Jennette Judd, M.D.

Primary specialty

Anesthesiology PhysicianTaxonomy code 207L00000X

License

2015-00730 Issued in NC

Practice address

600 Green Valley Rd Ste 304
Greensboro, NC 27408-7722

Phone

(336) 282-4840

Fax

(336) 282-4660

NPI assigned

Jun 3, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Ambulatory Anesthesia of Pinehurst, PA

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1306867015
  Medicare reassignment NPD
• Pinehurst Anesthesia Associates, PA

  • Anesthesiology Physician
  • Pinehurst, NC
  • NPI 1336169739
  Medicare reassignment NPD
• Providence Anesthesiology Associates, P.a.

  • Anesthesiology Physician
  • Charlotte, NC
  • NPI 1396739884
  Medicare reassignment NPD
• American Anesthesiology of North Carolina, PLLC

  • Anesthesiology Physician
  • Wilmington, NC
  • NPI 1033412267
  NPD (past)

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

{
    "created_epoch": "1275523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1439856000000",
    "number": "1013237916",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 GREEN VALLEY RD STE 304",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087722",
            "telephone_number": "336-282-4840",
            "fax_number": "336-282-4660"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 GREEN VALLEY RD STE 304",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087722",
            "telephone_number": "336-282-4840",
            "fax_number": "336-282-4660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JUDD",
        "first_name": "MARY",
        "middle_name": "JENNETTE",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-06-03",
        "last_updated": "2015-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "TN",
            "license": "51542",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "165137",
            "primary": false
        },
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "NC",
            "license": "2015-00730",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Jozefowicz
• JPB Counseling, PC
• Juan Bautista Santos
• Christopher Juberg, DO
• Katherine Bottenus Judd, LPC-A
• Judith a. Walker DDS, PA
• Sarah Ann Julian, M.A., CCC-SLP
• Julians Heart Homecare LLC
• Julie Dillon Consulting, Inc.
• Julie S. Whitt LCSW, PLLC

• Anesthesiology Physician in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Anesthesiology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.