Individual provider Active NPI

Jason C Zeigler, DPM

  • Podiatrist
  • Winston Salem, NC
National Provider Identifier
1164530200
Registry record updated Feb 19, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
PodiatristTaxonomy code 213E00000X
License
459 Issued in NC
Practice address
3303 Healy Dr Ste B
Winston Salem, NC 27103-1569
Phone
(336) 768-8848
Fax
(336) 768-3078
NPI assigned
Aug 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Podiatrist 213E00000X 459 NC Primary

Addresses

Primary practice location

3303 Healy Dr Ste B
Winston Salem, NC 27103-1569

Mailing address

76764 Lancelot CT
Palm Desert, CA 92211-7103
Phone (760) 200-8588

Other practice location 1

5921 W Friendly Ave Ste B
Greensboro, NC 27410-3268
Phone (336) 218-8490

Other identifiers 1

IdentifierTypeStateIssuer
890807VMedicaidNC

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
I20070824000809 NC Practitioner - Podiatry 7517059256 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Podiatry
Education
Kent State University College of Podiatric Medicine, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gooden Mobile Pod NC PLLCGroup PAC ID 2769738715, 16 clinicians
Healthdrive Podiatry Group NC, PCGroup PAC ID 5597172924, 9 clinicians

Practice addresses (Care Compare)

311 McFadyen Dr
Fayetteville, NC 28314-0937
Phone 50224424205441

5960 Fairview Rd
Suite 300
Charlotte, NC 28210-0202
Phone (888) 964-6681

Merit-based Incentive Payment System (MIPS)

Final score
88.23 of 100Reported as group
Quality
50.17
Promoting interoperability
100
Improvement activities
40
Cost
77.26

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
90
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue3246
Removal or shaving of skin growth548

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Healthdrive Podiatry Group NC, PC Podiatrist CurrentSince Apr 24, 2023 Accepting new patients
Premier Foot & Ankle PLLC CurrentSince Dec 1, 2022 Accepting new patients
Foot Centers of NC, PA Current Accepting new patients
Gooden Mobile Pod NC PLLC Podiatrist CurrentSince May 1, 2020 Accepting new patients
Carolina Anesthesia Associates PA PastSince Apr 15, 2016 Accepting new patients

Locations

12910 Shelbyville Rd
Ste 300
Louisville, KY 40243
Phone (502) 214-0693

5960 Fairview Rd
Ste 300
Charlotte, NC 28210
Phone (732) 806-0804

5921 W Friendly Ave
Ste D
Greensboro, NC 27410
Phone (336) 218-8490

821 S Horner Blvd
Sanford, NC 27330
Phone (919) 292-1610

Organizations & group practices 5

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": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1550534400000",
    "number": "1164530200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "76764 LANCELOT CT",
            "city": "PALM DESERT",
            "state": "CA",
            "postal_code": "922117103",
            "telephone_number": "760-200-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3303 HEALY DR STE B",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271031569",
            "telephone_number": "336-768-8848",
            "fax_number": "336-768-3078"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5921 W Friendly Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274103268",
            "country_code": "US",
            "telephone_number": "336-218-8490",
            "fax_number": "336-763-3078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ZEIGLER",
        "first_name": "JASON",
        "middle_name": "C",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-28",
        "last_updated": "2019-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "NC",
            "license": "459",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890807V",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.