Individual provider Active NPI

Jeffrey Todd Kornegay, MD

  • Internal Medicine Physician
  • Wilmington, NC
National Provider Identifier
1053511592
Registry record updated Mar 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2008-02034 Issued in NC
Practice address
109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411
Phone
(910) 662-1960
Fax
(910) 550-3787
NPI assigned
Jul 23, 2007
Last updated
Mar 18, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 18, 2025

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 2008-02034 NC Primary

Addresses

Primary practice location

109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 343-9991

Other practice location 2

5145 S College Rd
Wilmington, NC 28412-2207
Phone (910) 792-1144

Other practice location 3

7420 Market St
Wilmington, NC 28411-9453
Phone (910) 686-2525

Other practice location 4

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457-9431
Phone (910) 300-4500

Other practice location 5

1721 Allens Ln
Ste 100
Wilmington, NC 28403-3661
Phone (910) 344-8900

Other practice location 6

1960 S 16th St
Wilmington, NC 28401-6676
Phone (910) 662-6000

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address jkornegay1707@direct.nhrmc.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
I20090724000400 NC Practitioner - Internal Medicine 1557414471 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Brody School of Medicine at East Carolina University, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1960 S 16TH St
Wilmington, NC 28401-6676
Phone (910) 662-6000

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044

9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24
Removal or shaving of skin growth1-10
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Nov 12, 2024 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Nov 12, 2024 Accepting new patients

Locations

7910 US Hwy 117 S
Unit 120
Rocky Point, NC 28457
Phone (910) 259-0400

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

109 Scotts Hill Medical Dr
Ste 204
Wilmington, NC 28411
Phone (910) 662-1960

1135 Military Cutoff Rd
Ste 103
Wilmington, NC 28405
Phone (910) 256-6222

1721 Allens Ln
Ste 100
Wilmington, NC 28403
Phone (910) 344-8900

1960 S 16th St
Wilmington, NC 28401
Phone (910) 343-9991

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

5145 College Rd S
Wilmington, NC 28412
Phone (910) 662-6000

7420 Market St
Wilmington, NC 28411
Phone (910) 662-6200

Interoperability endpoints

  • Direct secure messaging: tkornegay1248210@direct.novanthealth.org

Organizations & group practices 5

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

Hospital & facility affiliations 11

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742256000000",
    "number": "1053511592",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 SCOTTS HILL MEDICAL DR",
            "address_2": "STE 204",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "28411",
            "telephone_number": "910-662-1960",
            "fax_number": "910-550-3787"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-343-9991",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5145 S College Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284122207",
            "country_code": "US",
            "telephone_number": "910-792-1144",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7420 Market St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284119453",
            "country_code": "US",
            "telephone_number": "910-686-2525",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "7910 US Hwy 117 S",
            "address_2": "Unit 120",
            "address_purpose": "LOCATION",
            "city": "Rocky Point",
            "state": "NC",
            "postal_code": "284579431",
            "country_code": "US",
            "telephone_number": "910-300-4500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1721 Allens Ln",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284033661",
            "country_code": "US",
            "telephone_number": "910-344-8900",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1960 S 16th St",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284016676",
            "country_code": "US",
            "telephone_number": "910-662-6000",
            "fax_number": "910-341-5164",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KORNEGAY",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2025-03-18",
        "certification_date": "2025-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2008-02034",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1960 S 16th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284016676",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkornegay1707@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1960 S 16th St",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284016676",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.