NPIMap

Individual provider Active NPI

Jared Douglas Hooley, PA-C

  • Physician Assistant
  • Durham, NC
National Provider Identifier
1144683996
Registry record updated Sep 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA60788655 Issued in WA
Practice address
3609 SW Durham Dr
Durham, NC 27707-6507
Phone
(919) 471-9622
NPI assigned
Mar 30, 2016
Last updated
Sep 9, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA60788655 WA Primary

Addresses

Primary practice location

3609 SW Durham Dr
Durham, NC 27707-6507

Mailing address

3609 SW Durham Dr
Durham, NC 27707-6507
Phone (919) 471-9622

Other identifiers 3

IdentifierTypeStateIssuer
G8971082OtherWAWVH PTANS
G8971081OtherWAWVH PTANS
1144683996MedicaidWA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OR, NC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20230127000688 OR Practitioner - Physician Assistant 8022383330 Reassigns benefits to 1 organization
I20240916000316 NC Practitioner - Physician Assistant 8022383330 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Oregon Health Sciences University School of Medicine, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Legacy Healthcare Services IncGroup PAC ID 2163339722, shared by 46 NPIs, 3,431 clinicians
Duke Health Integrated Practice IncGroup PAC ID 8325412737, 3,140 clinicians

Practice addresses (Care Compare)

2701 Pickett Rd
Durham, NC 27705-5688
Phone (919) 419-9600

3609 SW Durham Dr
Durham, NC 27707-6507
Phone (919) 684-8111

40 Duke Medicine Cir
Durham, NC 27710-4000
Phone (919) 684-8111

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sapphire at Gresham Rehab, LLC CurrentSince Jan 5, 2023 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Duke University Health System, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Duke Health Integrated Practice, Inc. CurrentSince Sep 9, 2024 Accepting new patients
Central Washington Health Services Association Past Accepting new patients

Locations

2301 Erwin Rd
Durham, NC 27705
Phone (919) 668-0289

3609 Southwest Durham Dr
Durham, NC 27707
Phone (919) 471-9622

40 Duke Medicine Cir
Durham, NC 27710
Phone (919) 681-1300

10100 SE Sunnyside Rd
Clackamas, OR 97015
Phone (503) 571-2946

Interoperability endpoints

  • Direct secure messaging: jhooley593706@direct.medicine.duke.edu

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

Hospital & facility affiliations 8

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": "1459296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1725840000000",
    "number": "1144683996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3609 SW DURHAM DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076507",
            "telephone_number": "919-471-9622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3609 SW DURHAM DR",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076507",
            "telephone_number": "919-471-9622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOOLEY",
        "first_name": "JARED",
        "middle_name": "DOUGLAS",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-03-30",
        "last_updated": "2024-09-09",
        "certification_date": "2024-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WA",
            "license": "PA60788655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVH PTANS",
            "identifier": "G8971082",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WVH PTANS",
            "identifier": "G8971081",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1144683996",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.