NPIMap

Individual provider Active NPI

John W McMenemy, M.D.

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1043250996
Registry record updated Jan 3, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
96-00638 Issued in NC
Practice address
77 Vilcom Center Dr Ste 200
Chapel Hill, NC 27514-1789
Phone
(919) 521-8159
Fax
(919) 933-3816
NPI assigned
Jun 8, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 96-00638 NC Primary

Addresses

Primary practice location

77 Vilcom Center Dr Ste 200
Chapel Hill, NC 27514-1789

Mailing address

77 Vilcom Center Dr Ste 200
Chapel Hill, NC 27514-1789
Phone (919) 521-8159

Other identifiers 2

IdentifierTypeStateIssuer
8955790MedicaidNC
55790OtherNCBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050304000303 NC Practitioner - Family Practice 0446204325 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wright State University Boonshoft School of Medicine, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Carolina Physical Therapy Associates LLCGroup PAC ID 7012989684, shared by 7 NPIs, 496 clinicians

Practice addresses (Care Compare)

101 SW Cary Pkwy
Cary, NC 27511-5562
Phone (919) 467-7678

1129 Weaver Dairy Rd
Chapel Hill, NC 27514-1960
Phone (919) 968-5959

77 Vilcom Cir
Suite 200
Chapel Hill, NC 27514-1789
Phone (919) 942-8500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
96-00638NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Duke University Affiliated Physicians, Inc. Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc Family Medicine CurrentSince Oct 10, 2022 Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Current Accepting new patients
Euclid Hospital Cleveland Clinic Health System Current Accepting new patients
Duke University Affiliated Physicians, Inc. Family Medicine Past Accepting new patients
Caldwell Memorial Hospital, Inc Family Medicine Past Accepting new patients

Locations

77 Vilcom Cir
Ste 200
Chapel Hill, NC 27514
Phone (919) 521-8159

1901 Hillandale Rd
Ste D
Durham, NC 27705
Phone (919) 383-4355

5716 Fayetteville Rd
Durham, NC 27713
Phone (919) 572-1862

Interoperability endpoints

  • Direct secure messaging: jmcmenemy527547@direct.medicine.duke.edu
  • Direct secure messaging: jmcmenemy1237883@direct.ccf.org

Organizations & group practices 6

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 8

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": "1149724800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1672704000000",
    "number": "1043250996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141789",
            "telephone_number": "919-521-8159",
            "fax_number": "330-343-7805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 200",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141789",
            "telephone_number": "919-521-8159",
            "fax_number": "919-933-3816"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCMENEMY",
        "first_name": "JOHN",
        "middle_name": "W",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-08",
        "last_updated": "2023-01-03",
        "certification_date": "2023-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "96-00638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8955790",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "55790",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.