Active NPI
Jenifer Ingle
- Internal Medicine Physician
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2011-01206
- Practice address
- 200 S College St
Suite 500
Charlotte, NC 28202-2012 - Phone
- (704) 302-8800
- Fax
- (704) 632-4001
- NPI assigned
- Apr 24, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 149274 | NC | |
| Internal Medicine Physician | 207R00000X | 2011-01206 | NC | Primary |
Addresses
Primary practice location
200 S College St
Suite 500
Charlotte, NC 28202-2012
Mailing address
200 S College St
Ste 500
Charlotte, NC 28202-2067
Phone (704) 302-8800
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5918984 | Medicaid | NC | |
| 1124293881 | Medicaid | NC | |
| NC1488 | Medicaid | SC |
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
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20110919000013 | NC | Practitioner - Internal Medicine | 2860663168 |
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of North Carolina at Chapel Hill School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Legacy Healthcare Services IncSelect Physical Therapy Holdings Inc
Practice addresses (Care Compare)
548 White Oaks Dr
Salisbury, NC 28147-8183
Phone (704) 636-0271
7482 Waterside Crossing Blvd
Suite 103
Denver, NC 28037-3006
Phone (704) 827-0598
Hospital & facility affiliations
- Novant Health Huntersville Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 149274 | NC | MD | Internal Medicine Physician |
| 2011-01206 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Tryon Medical Partners, PLLC | Internal Medicine | Current | Accepting new patients |
Locations
10635 Park Rd
Ste I
Charlotte, NC 28210
Phone (704) 495-6025
6060 Piedmont Row Dr S
Fl 7
Charlotte, NC 28287
Phone (704) 489-3094
9615 Kincey Ave
Ste 210
Huntersville, NC 28078
Phone (704) 489-3113
Interoperability endpoints
- jenifer.ingle.1@17847.direct.athenahealth.com
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.
-
- Internal Medicine Physician
- Charlotte, NC
- NPI 1992204549
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Huntersville, NC
- NPI 1346291309
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1208995200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1124293881",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "200 S COLLEGE ST",
"address_2": "STE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022067",
"telephone_number": "704-302-8800",
"fax_number": "704-632-4001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "200 S COLLEGE ST",
"address_2": "SUITE 500",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282022012",
"telephone_number": "704-302-8800",
"fax_number": "704-632-4001"
}
],
"practiceLocations": [],
"basic": {
"last_name": "INGLE",
"first_name": "JENIFER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-24",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "149274",
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2011-01206",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5918984",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124293881",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "NC1488",
"state": "SC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Charlotte, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; 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.