Individual provider Active NPI

Jaylan R Parikh, MD

  • Orthopaedic Surgery Physician
  • Dunn, NC
National Provider Identifier
1265433163
Registry record updated Dec 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopaedic Surgery PhysicianTaxonomy code 207X00000X
License
95-01044 Issued in NC
Practice address
721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone
(910) 891-4202
Fax
(910) 891-2602
NPI assigned
Aug 2, 2005
Last updated
Dec 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 16, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopaedic Surgery Physician 207X00000X 95-01044 NC Primary
Sports Medicine (Orthopaedic Surgery) Physician 207XX0005X 95-01044 NC

Addresses

Primary practice location

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066

Mailing address

721 Tilghman Dr
Suite 100
Dunn, NC 28334-6066
Phone (910) 891-4202

Other identifiers 3

IdentifierTypeStateIssuer
8965248MedicaidNC
65248OtherNCBSBC NC
0938858OtherNCUHC

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
I20050426000649 NC Practitioner - Orthopedic SurgeryPractitioner - Sports Medicine 8325087737 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
95-01044NCMDSports Medicine (Orthopaedic Surgery) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Neurology and Pain Management Center, PLLC CurrentSince Feb 12, 2022 Accepting new patients
Atlantic Radiology Associates PA PastSince Feb 12, 2022 Accepting new patients
One Stop Rehab LLC PastSince Aug 18, 2024 Accepting new patients

Locations

180 Magnolia Square Ct
Aberdeen, NC 28315
Phone (910) 491-2744

1291 Oliver St
Fayetteville, NC 28304
Phone (910) 491-2744

3400 Walsh Pkwy
Ste 100
Fayetteville, NC 28311
Phone (910) 491-2744

5511 Ramsey St
Ste 200
Fayetteville, NC 28311
Phone (910) 491-2744

350 Pine State St
Lillington, NC 27546
Phone (910) 893-9700

6402 McCrimmon Pkwy
Ste 300
Morrisville, NC 27560
Phone (910) 584-5003

1212 Central Dr
Ste 101
Sanford, NC 27330

Interoperability endpoints

  • Direct secure messaging: jaylan.parikh@990.chartlogic.direct-ci.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1122940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1481846400000",
    "number": "1265433163",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 TILGHMAN DR",
            "address_2": "SUITE 100",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346066",
            "telephone_number": "910-891-4202",
            "fax_number": "910-891-2602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 TILGHMAN DR",
            "address_2": "SUITE 100",
            "city": "DUNN",
            "state": "NC",
            "postal_code": "283346066",
            "telephone_number": "910-891-4202",
            "fax_number": "910-891-2602"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PARIKH",
        "first_name": "JAYLAN",
        "middle_name": "R",
        "name_prefix": "Mr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-02",
        "last_updated": "2016-12-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "95-01044",
            "primary": true
        },
        {
            "code": "207XX0005X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Sports Medicine",
            "state": "NC",
            "license": "95-01044",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8965248",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BSBC NC",
            "identifier": "65248",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UHC",
            "identifier": "0938858",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Dunn, NC

Sources for this page

Verify at the official NPI Registry.