Individual provider Active NPI

Jared Segal, D.O.

  • Cardiovascular Disease Physician
  • Greensboro, NC
National Provider Identifier
1174057491
Registry record updated Jul 10, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Cardiovascular Disease PhysicianTaxonomy code 207RC0000X
License
2020-03751 Issued in NC
Practice address
3200 Northline Ave Ste 250
Greensboro, NC 27408-7619
Phone
(336) 938-0800
Fax
(484) 628-9003
NPI assigned
Apr 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 10, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X OT017581 PA
Internal Medicine Physician 207R00000X 2020-03751 NC
Cardiovascular Disease Physician 207RC0000X 2020-03751 NC Primary

Addresses

Primary practice location

3200 Northline Ave Ste 250
Greensboro, NC 27408-7619

Mailing address

PO Box 13579
Reading, PA 19612-3579

Other practice location 1

1220 Magnolia St
Greensboro, NC 27401-1309
Phone (336) 938-0800

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
I20201020003780 NC Practitioner - Internal Medicine 7416226386 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Other, 2017
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1220 Magnolia St
Greensboro, NC 27401-1309
Phone (336) 938-0800

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
OT017581PAMDInternal Medicine Physician
2020-03751NCMDCardiovascular Disease Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H. Cone Memorial Hospital Operating Corporation Internal Medicine Current Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Aug 25, 2025 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Internal Medicine CurrentSince Aug 25, 2025 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

1220 Magnolia St
Greensboro, NC 27401
Phone (336) 938-0080

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3200 Northline Ave
Ste 250
Greensboro, NC 27408
Phone (336) 273-7900

300 E Wendover Ave
Fl 2
Greensboro, NC 27401
Phone (336) 663-5219

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 and National Provider Directory roles.

Hospital & facility affiliations 1

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": "1492041600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1752105600000",
    "number": "1174057491",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 13579",
            "city": "READING",
            "state": "PA",
            "postal_code": "196123579"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 250",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087619",
            "telephone_number": "336-938-0800",
            "fax_number": "484-628-9003"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1220 Magnolia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011309",
            "country_code": "US",
            "telephone_number": "336-938-0800",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SEGAL",
        "first_name": "JARED",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-04-13",
        "last_updated": "2025-07-10",
        "certification_date": "2025-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "PA",
            "license": "OT017581",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2020-03751",
            "primary": false
        },
        {
            "code": "207RC0000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Cardiovascular Disease",
            "state": "NC",
            "license": "2020-03751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.