Individual provider Active NPI

Joshua Fleming, DNP-FNP

  • Nurse Practitioner
  • Clemmons, NC
National Provider Identifier
1134737265
Registry record updated Dec 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5021113 Issued in NC
Practice address
3163 Gammon LN
Clemmons, NC 27012-9052
Phone
(336) 310-5571
NPI assigned
Jul 15, 2020
Last updated
Dec 31, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 31, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X F07200715 VA
Family Nurse Practitioner 363LF0000X 0024179964 VA
Nurse Practitioner 363L00000X 5021113 NC Primary

Addresses

Primary practice location

3163 Gammon LN
Clemmons, NC 27012-9052

Mailing address

PO Box 601843
Charlotte, NC 28260-1843

Other practice location 1

1125 Old Graves Mill Rd Apt 316
Lynchburg, VA 24502-4312
Phone (919) 810-5427

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL Lynchburg Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20231017001556 VA Practitioner - Nurse Practitioner 7315392958 Reassigns benefits to 1 organization
I20250122001614 NC Practitioner - Nurse Practitioner 7315392958 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolina Medicorp Enterprises LLCGroup PAC ID 0648174904, 184 clinicians

Practice addresses (Care Compare)

3163 Gammon LN
Clemmons, NC 27012-9052
Phone (336) 310-5571

Merit-based Incentive Payment System (MIPS)

Final score
81.6 of 100Reported as group
Quality
76.36
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
F07200715VAMDFamily Medicine Physician
5021113NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Medicorp Enterprises, LLC CurrentSince Nov 30, 2024 Accepting new patients
Emergency Medicine Associates, P.a.,P.C. CurrentSince Oct 1, 2023 Accepting new patients
Carolina Medicorp Enterprises LLC Family Medicine CurrentSince Nov 30, 2024 Accepting new patients
Carolina Medicorp Enterprises, LLC Current Accepting new patients
Emergency Medicine Associates P.a., P.C. CurrentSince Oct 1, 2023 Accepting new patients
Carolina Medicorp Enterprises Inc Past Accepting new patients

Locations

9550 Rocky River Rd
Ste 150
Charlotte, NC 28215
Phone (704) 457-1510

2635 Lawndale Dr
Greensboro, NC 27408
Phone (336) 867-4310

600 Highland Oaks Dr
Winston Salem, NC 27103
Phone (366) 774-0040

15225 Heathcote Blvd
Haymarket, VA 20169
Phone (571) 284-1000

8700 Sudley Rd
Manassas, VA 20110
Phone (703) 369-8000

Interoperability endpoints

  • Direct secure messaging: jfleming1635006@direct.novanthealth.org

Organizations & group practices 6

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": "1594771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735603200000",
    "number": "1134737265",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 601843",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282601843"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3163 GAMMON LN",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270129052",
            "telephone_number": "336-310-5571"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1125 Old Graves Mill Rd Apt 316",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "245024312",
            "country_code": "US",
            "telephone_number": "919-810-5427",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FLEMING",
        "first_name": "JOSHUA",
        "name_prefix": "Dr.",
        "credential": "DNP-FNP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-07-15",
        "last_updated": "2024-12-31",
        "certification_date": "2024-12-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "F07200715",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024179964",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5021113",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "Lynchburg",
            "affiliation": "N",
            "endpointDescription": "NA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1125 Old Graves Mill Rd Apt 316",
            "city": "Lynchburg",
            "state": "VA",
            "country_code": "US",
            "postal_code": "245024312",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Clemmons, NC

Sources for this page

Verify at the official NPI Registry.