Individual provider Active NPI

Daniel Brian Jobe, MD

  • Internal Medicine Physician
  • High Point, NC
National Provider Identifier
1033149299
Registry record updated Apr 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9401423 Issued in NC
Practice address
1226 Eastchester Dr Ste 200
High Point, NC 27265-3116
Phone
(336) 481-8610
Fax
(336) 481-8619
NPI assigned
Jul 4, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 9401423 NC Primary

Addresses

Primary practice location

1226 Eastchester Dr Ste 200
High Point, NC 27265-3116

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

3515 W Market St Ste 200
Greensboro, NC 27403-4442
Phone (336) 660-5520

Other identifiers 2

IdentifierTypeStateIssuer
110166989OtherNCRAILROAD MEDICARE
8946037MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address djobe729211@direct.novanthealth.org

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
I20100104000430 NC Practitioner - Internal Medicine 0345381091

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9401423NCMDInternal Medicine Physician

Interoperability endpoints

  • Direct secure messaging: djobe729211@direct.novanthealth.org

NPI Registry JSON

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

{
    "created_epoch": "1151971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1650931200000",
    "number": "1033149299",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1226 EASTCHESTER DR STE 200",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272653116",
            "telephone_number": "336-481-8610",
            "fax_number": "336-481-8619"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3515 W Market St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274034442",
            "country_code": "US",
            "telephone_number": "336-660-5520",
            "fax_number": "336-660-5539",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JOBE",
        "first_name": "DANIEL",
        "middle_name": "BRIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-04",
        "last_updated": "2022-04-26",
        "certification_date": "2022-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9401423",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "110166989",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946037",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "djobe729211@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "3515 W Market St Ste 200",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274034442",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.