Active NPI
Peace Nnennaya Jessa, DO
- Preventive Medicine/Occupational Environmental Medicine Physician
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Preventive Medicine/Occupational Environmental Medicine Physician
- License
- 34.010580
- Practice address
- 2401 Hickswood Rd Ste 106
High Point, NC 27265-1538 - Phone
- (336) 885-9675
- Fax
- (336) 885-9682
- NPI assigned
- Aug 22, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 34.010580 | OH | Primary |
| Preventive Medicine/Occupational Environmental Medicine Physician | 2083P0500X | 01737 | NC |
Addresses
Primary practice location
2401 Hickswood Rd Ste 106
High Point, NC 27265-1538
Mailing address
4457 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-7813
Other practice location 1
4457 State Route 159
Chillicothe, OH 45601-8620
Phone (740) 779-7813
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | adena@adena.medicity.net |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 01737 | NC | MD | Preventive Medicine/Occupational Environmental Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Adena Medical Group LLC | Current | Accepting new patients | |
| DRX High Point, PLLC | Current | Accepting new patients |
Locations
1231 Eastchester Dr
High Point, NC 27265
Phone (336) 884-4050
2305 N Main St
High Point, NC 27262
Phone (336) 884-4050
2913 Wake Forest Rd
Raleigh, NC 27609
Phone (404) 960-9857
4457 State Route 159
Chillicothe, OH 45601
Phone (740) 775-7771
272 Hospital Rd
Ste 6
Chillicothe, OH 45601
3930 US Highway 23 Anx
Piketon, OH 45661
Phone (740) 779-7813
12340 State Route 104
Waverly, OH 45690
Phone (740) 941-5180
Organizations & group practices 2
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.
-
dba American Family Care
- Multi-Specialty Clinic/Center
- High Point, NC
- NPI 1669701306
-
- Family Medicine Physician
- Chillicothe, OH
- NPI 1235468083
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156204800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1714348800000",
"number": "1275649097",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4457 STATE ROUTE 159",
"city": "CHILLICOTHE",
"state": "OH",
"postal_code": "456018620",
"telephone_number": "740-779-7813"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2401 HICKSWOOD RD STE 106",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272651538",
"telephone_number": "336-885-9675",
"fax_number": "336-885-9682"
}
],
"practiceLocations": [
{
"address_1": "4457 State Route 159",
"address_purpose": "LOCATION",
"city": "Chillicothe",
"state": "OH",
"postal_code": "456018620",
"country_code": "US",
"telephone_number": "740-779-7813",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JESSA",
"first_name": "PEACE",
"middle_name": "NNENNAYA",
"credential": "DO",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-22",
"last_updated": "2024-04-29",
"certification_date": "2024-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "OH",
"license": "34.010580",
"primary": true
},
{
"code": "2083P0500X",
"taxonomy_group": "",
"desc": "Preventive Medicine, Preventive Medicine/Occupational Environmental Medicine",
"state": "NC",
"license": "01737",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "adena@adena.medicity.net",
"affiliation": "N",
"address_1": "4457 State Route 159",
"city": "Chillicothe",
"state": "OH",
"country_code": "US",
"postal_code": "456018620",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.