Individual provider Active NPI

Amy Catherine Denham, M.D.

  • Family Medicine Physician
  • Siler City, NC
National Provider Identifier
1215957360
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2000-01364 Issued in NC
Practice address
1000 S 10TH Ave
Siler City, NC 27344-3324
Phone
(919) 742-5641
Fax
(919) 742-7496
NPI assigned
Jul 20, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2000-01364 NC Primary

Addresses

Primary practice location

1000 S 10TH Ave
Siler City, NC 27344-3324

Mailing address

121 Merritt Dr
Chapel Hill, NC 27517-8060
Phone (919) 968-0024

Other identifiers 2

IdentifierTypeStateIssuer
7534345OtherNCCIGNA PROVIDER NUMBER
D6581OtherNCMEDCOST PROVIDER NUMBER

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
I20041026000055 NC Practitioner - Family PracticePractitioner - Preventive Medicine 4981665635 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2000-01364NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Aug 30, 2014 Accepting new patients
University of North Carolina at Chapel Hill Family Medicine CurrentSince Aug 30, 2014 Accepting new patients
Park Ophthalmology Past Accepting new patients
County of Chatham PastSince Aug 1, 2020 Accepting new patients

Locations

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

590 Manning Dr
Chapel Hill, NC 27599
Phone (919) 966-0210

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

Interoperability endpoints

  • Direct secure messaging: adenham12590@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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1153353600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1215957360",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 MERRITT DR",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275178060",
            "telephone_number": "919-968-0024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 S 10TH AVE",
            "city": "SILER CITY",
            "state": "NC",
            "postal_code": "273443324",
            "telephone_number": "919-742-5641",
            "fax_number": "919-742-7496"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENHAM",
        "first_name": "AMY",
        "middle_name": "CATHERINE",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2000-01364",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA PROVIDER NUMBER",
            "identifier": "7534345",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST PROVIDER NUMBER",
            "identifier": "D6581",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Siler City, NC

Sources for this page

Verify at the official NPI Registry.