Active NPI
Justin Lee Vandermolen, M.D.
- Cardiovascular Disease Physician
- Wilmington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 2018-01727
- Practice address
- 1415 Physicians Dr
Wilmington, NC 28401-7338 - Phone
- (910) 662-9500
- Fax
- (910) 662-9501
- NPI assigned
- May 6, 2015
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2018-01727 | NC | |
| Hospitalist Physician | 208M00000X | 2018-01727 | NC | |
| Cardiovascular Disease Physician | 207RC0000X | 2018-01727 | NC | Primary |
Addresses
Primary practice location
1415 Physicians Dr
Wilmington, NC 28401-7338
Mailing address
PO Box 936857
Atlanta, GA 31193-6857
Phone (910) 662-9500
Other practice location 1
101 Manning Dr
Chapel Hill, NC 27514
Phone (919) 966-1216
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jvandermolen678622@direct.novanthealth.org |
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
Care Compare profile
Medicare Care Compare- Specialty
- Cardiovascular Disease (Cardiology)
- Education
- Saint Louis University School of Medicine, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500
2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 343-7044
240 Hospital Dr NE
Bolivia, NC 28422-8346
Phone (336) 399-7678
9104 Market St
Wilmington, NC 28411-7994
Phone (910) 686-2840
Hospital & facility affiliations
- Novant Health New Hanover Regional Medical Center
- Novant Health Brunswick Medical Center
- J Arthur Dosher Memorial Hospital
- Onslow Memorial Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018-01727 | NC | MD | Hospitalist Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| NMG Health Services LLC | Current | Accepting new patients | |
| Pender Memorial Hospital, Incorporated | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Mint Hill Medical Center, LLC | Current | Accepting new patients | |
| Novant Health Ballantyne Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Brunswick Community Hospital, LLC | Current | Accepting new patients | |
| Novant Health Medical Group Coastal Region, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Novant Health New Hanover Regional Medical Center LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| Pender Memorial Hospital Incorporated | Current | Accepting new patients |
Locations
240 Hospital Dr NE
Bolivia, NC 28422
Phone (336) 399-7678
507 E Fremont St
Burgaw, NC 28425
Phone (910) 259-5451
8201 Healthcare Loop
Charlotte, NC 28215
Phone (980) 302-1000
10905 Providence Rd W
Charlotte, NC 28277
Phone (980) 488-4000
800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164
105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840
1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766
1010 Bethesda Ct
Winston Salem, NC 27103
Phone (336) 277-6000
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jvandermolen678622@direct.novanthealth.org
Organizations & group practices 13
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.
-
- Certified Registered Nurse Anesthetist
- Bolivia, NC
- NPI 1669725198
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1649865791
-
- Certified Registered Nurse Anesthetist
- Wilmington, NC
- NPI 1750978839
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1760190607
-
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Certified Registered Nurse Anesthetist
- Charlotte, NC
- NPI 1063910404
-
- Critical Access Hospital
- Burgaw, NC
- NPI 1053444901
-
- Maternal & Fetal Medicine Physician
- Bolivia, NC
- NPI 1558242495
-
- Cardiovascular Disease Physician
- Wilmington, NC
- NPI 1982280285
-
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
- Undersea and Hyperbaric Medicine (Preventive Medicine) Physician
- Wilmington, NC
- NPI 1932958584
Hospital & facility affiliations 8
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
- Rural Health Clinic/Center
- Oak Island, NC
- NPI 1235405358
Hospital
-
- General Practice Physician
- Bald Head Island, NC
- NPI 1376961219
Hospital
-
- Critical Access Hospital
- Southport, NC
- NPI 1538260229
-
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- General Acute Care Hospital
- Jacksonville, NC
- NPI 1679535496
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1430870400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1688515200000",
"number": "1164809489",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 936857",
"city": "ATLANTA",
"state": "GA",
"postal_code": "311936857",
"telephone_number": "910-662-9500",
"fax_number": "910-662-9501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 PHYSICIANS DR",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284017338",
"telephone_number": "910-662-9500",
"fax_number": "910-662-9501"
}
],
"practiceLocations": [
{
"address_1": "101 Manning Dr",
"address_purpose": "LOCATION",
"city": "Chapel Hill",
"state": "NC",
"postal_code": "27514",
"country_code": "US",
"telephone_number": "919-966-1216",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "VANDERMOLEN",
"first_name": "JUSTIN",
"middle_name": "LEE",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-06",
"last_updated": "2023-07-05",
"certification_date": "2023-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2018-01727",
"primary": false
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NC",
"license": "2018-01727",
"primary": false
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "2018-01727",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jvandermolen678622@direct.novanthealth.org",
"affiliation": "N",
"address_1": "101 Manning Dr",
"city": "Chapel Hill",
"state": "NC",
"country_code": "US",
"postal_code": "27514",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wilmington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2023; 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.