Individual provider Active NPI

Jugta Kahai, MD

  • Pediatrics Physician
  • Jacksonville, NC
National Provider Identifier
1104805670
Registry record updated Jul 25, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
9900076 Issued in NC
Practice address
120 Memorial Dr
Jacksonville, NC 28546-6328
Phone
(910) 353-0581
Fax
(910) 577-1150
NPI assigned
Jan 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 9900076 NC Primary

Addresses

Primary practice location

120 Memorial Dr
Jacksonville, NC 28546-6328

Mailing address

118 Memorial Dr
Jacksonville, NC 28546-6328

Other practice location 1

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 653-7000

Other practice location 2

221 Jefferson St
Whiteville, NC 28472-3415
Phone (910) 642-3294

Other practice location 3

14508 James B White Hwy S
Tabor City, NC 28463-8358
Phone (910) 641-8680

Other practice location 4

36 McNeill Plz
Whiteville, NC 28472-8602
Phone (910) 641-8660

Other practice location 5

319 Wb McLean Dr
Cape Carteret, NC 28584-8516
Phone (252) 424-0004

Other practice location 6

8399 Richlands Hwy
Richlands, NC 28574-7390
Phone (910) 324-7268

Other practice location 7

108 Lakeside Dr
Sneads Ferry, NC 28460-9415
Phone (910) 327-5437

Other practice location 8

118 Memorial Dr
Jacksonville, NC 28546-6328
Phone (910) 353-0581

Other practice location 9

1106 Main Street Ext
Swansboro, NC 28584-9114
Phone (910) 325-0581

Other practice location 10

5710 Oleander Dr
Wilmington, NC 28403-4766
Phone (910) 799-1810

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address crhs@crhn.cernerdirect.com Columbus Regional Healthcare System, Inc.
CONNECT URL https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service Other ABILITY Network

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
I20120315000485 NC Practitioner - Pediatric Medicine 6800055542 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
9900076NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Columbus Regional Health Network Current Accepting new patients
Columbus Regional Health Network CurrentSince Feb 1, 2016 Accepting new patients
Jacksonville Children'S and Multispecialty Clinic, PA Pediatrics CurrentSince Aug 1, 2024 Accepting new patients
Jacksonville Behavior and Mental Health CurrentSince Jul 28, 2024 Accepting new patients
Columbus Regional Health Network CurrentSince Feb 1, 2016 Accepting new patients
Family Care Clinic, P.a. Past Accepting new patients
Columbus Regional Health Network Past Accepting new patients

Locations

100 N 6th St
Ste 900A
Minneapolis, MN 55403

319 Wb McLean Dr
Cape Carteret, NC 28584
Phone (252) 393-3345

114C Memorial Dr
Jacksonville, NC 28546
Phone (910) 346-3976

120 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

118 Memorial Dr
Jacksonville, NC 28546
Phone (910) 353-0581

8399 Richlands Hwy
Richlands, NC 28574
Phone (910) 324-7268

108 Lakeside Dr
Sneads Ferry, NC 28460
Phone (910) 327-5437

1106 Main Street Ext
Swansboro, NC 28584
Phone (910) 325-0581

14508 James B White Hwy S
Tabor City, NC 28463
Phone (910) 641-8680

619 Jefferson St
Whiteville, NC 28472
Phone (910) 642-0331

612 Jefferson St
#28
Whiteville, NC 28472
Phone (910) 640-4064

221 Jefferson St
Whiteville, NC 28472
Phone (910) 641-8680

500 Jefferson St
Whiteville, NC 28472
Phone (910) 642-1776

36 McNeill Plz
Whiteville, NC 28472
Phone (910) 640-4064

5710 Oleander Dr
Ste 200
Wilmington, NC 28403
Phone (910) 799-1810

Interoperability endpoints

  • Direct secure messaging: jkahai2933631@carolinashealthcaresystem.direct-ci.com
  • Direct secure messaging: jkahai@crhn.cernerdirect.com
  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: crhs@crhn.cernerdirect.com

Organizations & group practices 7

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.

NPI Registry JSON

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

{
    "created_epoch": "1137024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721865600000",
    "number": "1104805670",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466328"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "120 MEMORIAL DR",
            "city": "JACKSONVILLE",
            "state": "NC",
            "postal_code": "285466328",
            "telephone_number": "910-353-0581",
            "fax_number": "910-577-1150"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-653-7000",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "221 Jefferson St",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723415",
            "country_code": "US",
            "telephone_number": "910-642-3294",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "14508 James B White Hwy S",
            "address_purpose": "LOCATION",
            "city": "Tabor City",
            "state": "NC",
            "postal_code": "284638358",
            "country_code": "US",
            "telephone_number": "910-641-8680",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "36 McNeill Plz",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284728602",
            "country_code": "US",
            "telephone_number": "910-641-8660",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "319 Wb McLean Dr",
            "address_purpose": "LOCATION",
            "city": "Cape Carteret",
            "state": "NC",
            "postal_code": "285848516",
            "country_code": "US",
            "telephone_number": "252-424-0004",
            "fax_number": "252-764-0019",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "8399 Richlands Hwy",
            "address_purpose": "LOCATION",
            "city": "Richlands",
            "state": "NC",
            "postal_code": "285747390",
            "country_code": "US",
            "telephone_number": "910-324-7268",
            "fax_number": "910-324-7273",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "108 Lakeside Dr",
            "address_purpose": "LOCATION",
            "city": "Sneads Ferry",
            "state": "NC",
            "postal_code": "284609415",
            "country_code": "US",
            "telephone_number": "910-327-5437",
            "fax_number": "910-327-5436",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "118 Memorial Dr",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285466328",
            "country_code": "US",
            "telephone_number": "910-353-0581",
            "fax_number": "910-353-1351",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1106 Main Street Ext",
            "address_purpose": "LOCATION",
            "city": "Swansboro",
            "state": "NC",
            "postal_code": "285849114",
            "country_code": "US",
            "telephone_number": "910-325-0581",
            "fax_number": "910-325-0582",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5710 Oleander Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284034766",
            "country_code": "US",
            "telephone_number": "910-799-1810",
            "fax_number": "910-799-9644",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KAHAI",
        "first_name": "JUGTA",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-12",
        "last_updated": "2024-07-25",
        "certification_date": "2024-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9900076",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "crhs@crhn.cernerdirect.com",
            "affiliation": "Y",
            "affiliationName": "Columbus Regional Healthcare System, Inc.",
            "address_1": "36 McNeill Plz",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284728602",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://esmd.abilitynetwork.com:8291/Gateway/DocumentSubmission/2_0/NhinService/XDRRequest_Service",
            "affiliation": "Y",
            "endpointDescription": "2.16.840.1.113883.3.667.2",
            "affiliationName": "ABILITY Network",
            "use": "OTHER",
            "useDescription": "Other",
            "useOtherDescription": "CMS esMD eMDR",
            "address_1": "100 N 6th St Ste 900A",
            "city": "Minneapolis",
            "state": "MN",
            "country_code": "US",
            "postal_code": "554031516",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jacksonville, NC

Sources for this page

Verify at the official NPI Registry.