Active NPI
Jeremy Michael Thomas, D.P.M.
- Foot & Ankle Surgery Podiatrist
- Southern Pines, NC
National Provider Identifier
1043456445
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 542
- Practice address
- 217 Davis St.
Southern Pines, NC 28387 - Phone
- (910) 757-0058
- NPI assigned
- Jan 6, 2009
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 542 | NC | Primary |
Addresses
Primary practice location
217 Davis St.
Southern Pines, NC 28387
Mailing address
217 Davis St.
Southern Pines, NC 28387
Phone (910) 757-0058
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Temple University School of Medicine, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Select Physical Therapy Holdings Inc
Practice addresses (Care Compare)
101 SW Cary Pkwy
Suite 10
Cary, NC 27511-5562
Phone (919) 467-7678
217 Davis St
Southern Pines, NC 28387-7069
Phone (910) 757-0058
Merit-based Incentive Payment System (MIPS)
- Final score
- 72.69 of 100
- Quality
- 50.89
- Promoting interoperability
- 99
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 1-10 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 262 |
| Removal or shaving of skin growth | 180 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 542 | NC | MD | Addiction (Substance Use Disorder) Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Triangle Foot and Ankle Specialist, P.C. | Foot & Ankle Surgery | Current | Accepting new patients |
Locations
1720 NW Maynard Rd
Cary, NC 27513
Phone (919) 344-0150
Interoperability endpoints
- jthomas@trianglefoot.emadirect.md
Organizations & group practices 1
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.
-
- Foot & Ankle Surgery Podiatrist
- Southern Pines, NC
- NPI 1558501551
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1231200000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689206400000",
"number": "1043456445",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "217 DAVIS ST.",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-757-0058",
"fax_number": "910-757-0164"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "217 DAVIS ST.",
"city": "SOUTHERN PINES",
"state": "NC",
"postal_code": "28387",
"telephone_number": "910-757-0058"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEREMY",
"middle_name": "MICHAEL",
"name_prefix": "Dr.",
"credential": "D.P.M.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-01-06",
"last_updated": "2023-07-13",
"certification_date": "2023-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "542",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southern Pines, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.