Individual provider Active NPI

Jeffrey Lynn Hunter, DPM

  • Primary Podiatric Medicine Podiatrist
  • Mount Airy, NC
National Provider Identifier
1124475017
Registry record updated Feb 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Podiatric Medicine PodiatristTaxonomy code 213EP1101X
License
689 Issued in NC
Practice address
367 S Andy Griffith Pkwy # 200
Mount Airy, NC 27030
Phone
(336) 443-9190
NPI assigned
May 20, 2016
Last updated
Feb 18, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 18, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Foot & Ankle Surgery Podiatrist 213ES0103X 689 NC
Foot Surgery Podiatrist 213ES0131X 689 NC
Primary Podiatric Medicine Podiatrist 213EP1101X 689 NC Primary

Addresses

Primary practice location

367 S Andy Griffith Pkwy # 200
Mount Airy, NC 27030

Mailing address

367 S Andy Griffith Pkwy # 200
Mount Airy, NC 27030-4010
Phone (336) 443-9190

Other practice location 1

11402 Chapman Ave
Garden Grove, CA 92840-3436
Phone (714) 606-8178

Other practice location 2

4676 N Patterson Ave
Winston Salem, NC 27105-1365
Phone (336) 443-9190

Other practice location 3

6341 Cook Ave
Clemmons, NC 27012-9379
Phone (336) 766-8400

Other practice location 4

402 W King St
King, NC 27021-9170
Phone (336) 443-9190

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: No
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190722002238 NC Practitioner - Podiatry 1456646678 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Other, 2016
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

367 S Andy Griffith Pkwy
Suite 200
Mount Airy, NC 27030-4010
Phone (336) 443-9190

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of tissue147
Removal of skin lesions1-10
Removal of nail tissue545
Removal or shaving of skin growth240
Skin biopsy1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
689NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Jul 1, 2019 Accepting new patients
Instride Foot and Ankle Specialists, PLLC Primary Podiatric Medicine CurrentSince Jul 1, 2019 Accepting new patients

Locations

6341 Cook Ave
Clemmons, NC 27012
Phone (336) 766-8400

1036 Branchview Dr
Ste 216
Concord, NC 28025
Phone (704) 886-1918

130 Lake Concord Rd NE
Ste B
Concord, NC 28025
Phone (704) 786-4482

530 N Elam Ave
Greensboro, NC 27403
Phone (336) 299-0271

402 W King St
King, NC 27021
Phone (336) 529-4304

367 S Andy Griffith Pkwy
#200
Mount Airy, NC 27030
Phone (336) 443-9190

147 Columbine Dr
Winston Salem, NC 27106
Phone (336) 443-9190

4676 N Patterson Ave
Winston Salem, NC 27105
Phone (336) 281-2004

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/JGADCD/Endpoint/JGADCD
  • Direct secure messaging: jeffrey.hunter@ifasp.eclinicaldirectplus.com

Organizations & group practices 2

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 2

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": "1463702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613606400000",
    "number": "1124475017",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "367 S ANDY GRIFFITH PKWY # 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "270304010",
            "telephone_number": "336-443-9190"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "367 S ANDY GRIFFITH PKWY # 200",
            "city": "MOUNT AIRY",
            "state": "NC",
            "postal_code": "27030",
            "telephone_number": "336-443-9190"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "11402 Chapman Ave",
            "address_purpose": "LOCATION",
            "city": "Garden Grove",
            "state": "CA",
            "postal_code": "928403436",
            "country_code": "US",
            "telephone_number": "714-606-8178",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4676 N Patterson Ave",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271051365",
            "country_code": "US",
            "telephone_number": "336-443-9190",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6341 Cook Ave",
            "address_purpose": "LOCATION",
            "city": "Clemmons",
            "state": "NC",
            "postal_code": "270129379",
            "country_code": "US",
            "telephone_number": "336-766-8400",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "402 W King St",
            "address_purpose": "LOCATION",
            "city": "King",
            "state": "NC",
            "postal_code": "270219170",
            "country_code": "US",
            "telephone_number": "336-443-9190",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUNTER",
        "first_name": "JEFFREY",
        "middle_name": "LYNN",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-05-20",
        "last_updated": "2021-02-18",
        "certification_date": "2021-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213ES0103X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot & Ankle Surgery",
            "state": "NC",
            "license": "689",
            "primary": false
        },
        {
            "code": "213ES0131X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Foot Surgery",
            "state": "NC",
            "license": "689",
            "primary": false
        },
        {
            "code": "213EP1101X",
            "taxonomy_group": "",
            "desc": "Podiatrist, Primary Podiatric Medicine",
            "state": "NC",
            "license": "689",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mount Airy, NC

Sources for this page

Verify at the official NPI Registry.