Individual provider Active NPI

Peyton Jessie Thompson, MD

  • Pediatric Infectious Diseases Physician
  • Chapel Hill, NC
National Provider Identifier
1164867842
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Infectious Diseases PhysicianTaxonomy code 2080P0208X
License
1164867842 Issued in NC
Practice address
Pediatirc Education Office CLB # 7593
Department of Pediatrics
Chapel Hill, NC 27599-0001
Phone
(919) 966-6669
Fax
(919) 966-7490
NPI assigned
May 8, 2013
Last updated
Oct 30, 2018By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Infectious Diseases Physician 2080P0208X 1164867842 NC Primary

Addresses

Primary practice location

Pediatirc Education Office CLB # 7593
Department of Pediatrics
Chapel Hill, NC 27599-0001

Mailing address

038 Macnider Hall CB 7231 Unc School of Medicine
Chapel Hill, NC 27599-0001
Phone (919) 445-0854

Other names 1

  • Jessie Peyton Wilson Former name

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190909001332 NC Practitioner - Pediatric Medicine 8022027192 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
1164867842NCMDPediatric Infectious Diseases Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wakemed CurrentSince Apr 1, 2022 Accepting new patients
Wakemed CurrentSince Apr 1, 2022 Accepting new patients
University of North Carolina at Chapel Hill CurrentSince Jul 29, 2019 Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

211 Friday Center Dr
Ste 2057
Chapel Hill, NC 27517
Phone (984) 974-1281

2801 Blue Ridge Rd
Raleigh, NC 27607
Phone (984) 215-6435

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

Interoperability endpoints

  • Direct secure messaging: jwilson15755@direct.unc.nchie.net

Organizations & group practices 4

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": "1367971200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1164867842",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "038 MACNIDER HALL CB 7231 UNC SCHOOL OF MEDICINE",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-445-0854",
            "fax_number": "919-966-7277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "PEDIATIRC EDUCATION OFFICE CLB # 7593",
            "address_2": "DEPARTMENT OF PEDIATRICS",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275990001",
            "telephone_number": "919-966-6669",
            "fax_number": "919-966-7490"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THOMPSON",
        "first_name": "PEYTON",
        "middle_name": "JESSIE",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-05-08",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2080P0208X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Pediatric Infectious Diseases",
            "state": "NC",
            "license": "1164867842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSIE",
            "last_name": "WILSON",
            "middle_name": "PEYTON",
            "credential": "MD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.