Individual provider Active NPI

Jagannath Subedi, M.D.

  • Psychiatry Physician
  • Thomasville, NC
National Provider Identifier
1245521343
Registry record updated Oct 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
2015-01184 Issued in NC
Practice address
309 Pineywood Rd
Thomasville, NC 27360-3438
Phone
(336) 474-8921
NPI assigned
Apr 22, 2011
Last updated
Oct 26, 2020By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 275581 NY
Psychiatry Physician 2084P0800X 2015-01184 NC Primary

Addresses

Primary practice location

309 Pineywood Rd
Thomasville, NC 27360-3438

Mailing address

PO Box 751803
Charlotte, NC 28275-1803
Phone (336) 718-4820

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsubedi446247@direct.novanthealth.org

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
I20150916001540 NC Practitioner - Psychiatry 2860709383 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

207 Old Lexington Rd
Thomasville, NC 27360-3428
Phone (336) 475-8121

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2015-01184NCMDPsychiatry Physician
275581NYMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Forsyth Memorial Hospital, Inc Psychiatry CurrentSince Aug 1, 2017 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Forsyth Memorial Hospital, Inc. Current Accepting new patients
Novant Health Medical Group, LLC Psychiatry CurrentSince Sep 24, 2017 Accepting new patients
Alamance Regional Medical Center, Inc. CurrentSince Oct 17, 2022 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Novant Health Medical Group, LLC CurrentSince Sep 24, 2017 Accepting new patients
Cornerstone Medical Center, PA Current Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
Keystone WSNC LLC Psychiatry CurrentSince Jul 20, 2015 Accepting new patients
Alamance Regional Medical Center, Inc CurrentSince Oct 17, 2022 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Feb 3, 2025 Accepting new patients
Forsyth Memorial Hospital, Inc. CurrentSince Aug 1, 2017 Accepting new patients
Moses Cone Affiliated Physicians, Inc Past Accepting new patients
Novant Health Thomasville Medical Center, LLC Past Accepting new patients

Locations

1041 Kirkpatrick Rd
Ste 100
Burlington, NC 27215
Phone (336) 538-0089

1236 Huffman Mill Rd
Ste 1500
Burlington, NC 27215
Phone (336) 586-3795

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

6301 Stadium Dr
Clemmons, NC 27012
Phone (336) 766-6473

1200 N Elm St
Ste 5
Greensboro, NC 27401

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

700 Walter Reed Dr
Greensboro, NC 27403
Phone (336) 832-9600

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

207 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-2000

309 Pineywood Rd
Thomasville, NC 27360
Phone (336) 474-8921

1551 Westbrook Plaza Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-0361

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

3637 Old Vineyard Rd
Winston Salem, NC 27104
Phone (336) 794-3550

Interoperability endpoints

  • Direct secure messaging: jsubedi446247@direct.novanthealth.org

Organizations & group practices 16

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.

View all 16

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": "1303430400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603670400000",
    "number": "1245521343",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751803",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751803",
            "telephone_number": "336-718-4820"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 PINEYWOOD RD",
            "city": "THOMASVILLE",
            "state": "NC",
            "postal_code": "273603438",
            "telephone_number": "336-474-8921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SUBEDI",
        "first_name": "JAGANNATH",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-04-22",
        "last_updated": "2020-10-26",
        "certification_date": "2020-09-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NY",
            "license": "275581",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "2015-01184",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsubedi446247@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "309 Pineywood Rd",
            "city": "Thomasville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "273603438",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Thomasville, NC

Sources for this page

Verify at the official NPI Registry.