Individual provider Active NPI

John C Midgley, DO

  • Internal Medicine Physician
  • Dunn, NC
National Provider Identifier
1245339209
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
23131 Issued in NC
Practice address
303 Tilghman Dr
Dunn Internal Medicine
Dunn, NC 28334-5524
Phone
(910) 892-0162
Fax
(910) 892-1145
NPI assigned
Sep 22, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 23131 NC Primary

Addresses

Primary practice location

303 Tilghman Dr
Dunn Internal Medicine
Dunn, NC 28334-5524

Mailing address

303 Tilghman Dr
Dunn Internal Medicine
Dunn, NC 28334-5524
Phone (910) 892-0162

Other identifiers 1

IdentifierTypeStateIssuer
8958795MedicaidNC

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
I20071215000163 NC Practitioner - Internal Medicine 0840380754 Practice locations: Dunn, NC

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dunn Internal Medicine Internal Medicine PastSince Jan 1, 1990 Accepting new patients

Organizations & group practices 1

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": "1158883200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1245339209",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 TILGHMAN DR",
            "address_2": "DUNN INTERNAL MEDICINE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345524",
            "telephone_number": "910-892-0162",
            "fax_number": "910-892-1145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "303 TILGHMAN DR",
            "address_2": "DUNN INTERNAL MEDICINE",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283345524",
            "telephone_number": "910-892-0162",
            "fax_number": "910-892-1145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MIDGLEY",
        "first_name": "JOHN",
        "middle_name": "C",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-22",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "23131",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8958795",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.