Individual provider Active NPI

Jonathan Joseph McKenzie, MD

  • Psychiatry Physician
  • Chapel Hill, NC
National Provider Identifier
1104515584
Registry record updated Sep 24, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2024-02725 Issued in NC
Practice address
77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875
Phone
(984) 974-5217
Fax
(984) 974-3778
NPI assigned
May 2, 2023
Last updated
Sep 24, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 2024-02725 NC Primary

Addresses

Primary practice location

77 Vilcom Center Dr Ste 300
Chapel Hill, NC 27514-1875

Mailing address

Unc Chapel Hill - Department of Psychiatry
Campus Box 7160
Chapel Hill, NC 27599-7160
Phone (984) 974-3881

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services: No
  • Medical equipment: Yes
  • Home health: No
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02725NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill PastSince May 7, 2023 Accepting new patients

Interoperability endpoints

  • Direct secure messaging: jmckenzie1030118@direct.unc.nchie.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1682985600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727136000000",
    "number": "1104515584",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC CHAPEL HILL - DEPARTMENT OF PSYCHIATRY",
            "address_2": "CAMPUS BOX 7160",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997160",
            "telephone_number": "984-974-3881"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "77 VILCOM CENTER DR STE 300",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141875",
            "telephone_number": "984-974-5217",
            "fax_number": "984-974-3778"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCKENZIE",
        "first_name": "JONATHAN",
        "middle_name": "JOSEPH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2023-05-02",
        "last_updated": "2024-09-24",
        "certification_date": "2024-09-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2024-02725",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.