Individual provider Active NPI

Emily Hodgin Jernigan, DMD

  • General Practice Dentistry
  • Raleigh, NC
National Provider Identifier
1194454918
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
12786 Issued in NC
Practice address
8450 Louisburg Rd Ste 130
Raleigh, NC 27616-5884
Phone
(919) 266-5332
NPI assigned
Jun 7, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 12786 NC Primary

Addresses

Primary practice location

8450 Louisburg Rd Ste 130
Raleigh, NC 27616-5884

Mailing address

720 Kimbrough St
Raleigh, NC 27608-2724
Phone (336) 413-9568

Other names 1

  • Dr. Emily Walker Hodgin Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12786NCMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
L.Brett Wells DDS III PLLC General Practice CurrentSince May 19, 2024 Accepting new patients
L. Brett Wells DDS VI PLLC General Practice PastSince Oct 8, 2023 Accepting new patients
L. Brett Wells DDS PA PastSince May 19, 2024 Accepting new patients

Locations

8450 Louisburg Rd
#130
Raleigh, NC 27616
Phone (919) 266-5332

Organizations & group practices 3

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": "1654560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1194454918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "720 KIMBROUGH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276082724",
            "telephone_number": "336-413-9568"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8450 LOUISBURG RD STE 130",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276165884",
            "telephone_number": "919-266-5332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "EMILY",
        "middle_name": "HODGIN",
        "name_prefix": "Dr.",
        "credential": "DMD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-06-07",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NC",
            "license": "12786",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "HODGIN",
            "middle_name": "WALKER",
            "prefix": "DR.",
            "credential": "DMD",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Raleigh, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.