NPIMap

Individual provider Active NPI

Jessica Heather McKee, D.O.

  • Internal Medicine Physician
  • Wilson, NC
National Provider Identifier
1083637391
Registry record updated Jun 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
200500743 Issued in NC
Practice address
2635 Tilghman Rd N
Wilson, NC 27896-8904
Phone
(252) 991-2067
Fax
(252) 991-2068
NPI assigned
Jul 26, 2006
Last updated
Jun 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 24, 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 200500743 NC Primary

Addresses

Primary practice location

2635 Tilghman Rd N
Wilson, NC 27896-8904

Mailing address

2635 Tilghman Rd N
Wilson, NC 27896-8904
Phone (252) 991-2067

Other practice location 1

1700 Tarboro St W
Suite 202
Wilson, NC 27893-3481
Phone (252) 991-2067

Other identifiers 2

IdentifierTypeStateIssuer
9970009OtherNCCIGNA ID#
5902807MedicaidNC

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
I20060206000646 NC Practitioner - Internal Medicine 5395759757 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2000
Medicare assignment
May accept Medicare assignment
Group practices
Comprehensive Rehab of Wilson, Inc.Group PAC ID 2668377375, 115 clinicians
Broad River RehabilitationGroup PAC ID 3375801350, 210 clinicians

Practice addresses (Care Compare)

1811 Forest Hills Rd W
Wilson, NC 27893-3412
Phone (252) 243-7400

2635 Tilghman Rd N
Wilson, NC 27896-8904
Phone (252) 991-2067

9120 Willow Ridge Rd
Charlotte, NC 28210-8313
Phone 82877452220027

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.3 of 100Reported as individual
Quality
86.6
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200500743NCMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Eastern Internal Medicine PA Internal Medicine CurrentSince Nov 5, 2009 Accepting new patients

Locations

1700 Tarboro St W
Ste 202
Wilson, NC 27893
Phone (252) 991-2067

2635 Tilghman Rd N
Wilson, NC 27896
Phone (252) 991-2067

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/CBGADD
  • FHIR API: https://fhir4.healow.com/fhir/r4/CBGADD/Endpoint/CBGADD

Organizations & group practices 3

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 6

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656028800000",
    "number": "1083637391",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2635 TILGHMAN RD N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968904",
            "telephone_number": "252-991-2067",
            "fax_number": "252-991-2068"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2635 TILGHMAN RD N",
            "city": "WILSON",
            "state": "NC",
            "postal_code": "278968904",
            "telephone_number": "252-991-2067",
            "fax_number": "252-991-2068"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Tarboro St W",
            "address_2": "Suite 202",
            "address_purpose": "LOCATION",
            "city": "Wilson",
            "state": "NC",
            "postal_code": "278933481",
            "country_code": "US",
            "telephone_number": "252-991-2067",
            "fax_number": "252-991-2068",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MCKEE",
        "first_name": "JESSICA",
        "middle_name": "HEATHER",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2022-06-24",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "200500743",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA ID#",
            "identifier": "9970009",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5902807",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilson, NC

Sources for this page

Verify at the official NPI Registry.