Individual provider Active NPI

Jennifer Erin Mihalik, MD

  • Surgery Physician
  • Rockingham, VA
National Provider Identifier
1275732067
Registry record updated Jul 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
0101267208 Issued in VA
Practice address
2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone
(540) 689-5800
Fax
(757) 579-8580
NPI assigned
Jul 12, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 37870 SC
Surgery Physician 208600000X 0101267208 VA Primary

Addresses

Primary practice location

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679

Mailing address

2006 Health Campus Dr Ste 200
Rockingham, VA 22801-8679
Phone (540) 689-5800

Other practice location 1

103 Omni Dr Ste B
Suite F
Seneca, SC 29672-9448
Phone (864) 886-9250

Other practice location 2

1906 Thomson Dr
Lynchburg, VA 24501
Phone (434) 200-3933

Other identifiers 2

IdentifierTypeStateIssuer
511-19876OtherALBLUE CROSS AND BLUE SHIELD
131464MedicaidAL

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jennifer.mihalik@mpaii.eclinicaldirectplus.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, SC, VA, NC4 enrollments
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 4

Enrollment IDStateProvider typePAC IDDetails
I20110914000365 AL Practitioner - General SurgeryPractitioner - Vascular Surgery 7719158260 Reassigns benefits to 1 organization
I20150608000699 SC Practitioner - General Surgery 7719158260 Reassigns benefits to 3 organizations
I20200304000651 VA Practitioner - General Surgery 7719158260 Reassigns benefits to 1 organization
I20220913004038 NC Practitioner - General Surgery 7719158260 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Eastern Virginia Medical School, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

4810 S Croatan Hwy
Suite 250
Nags Head, NC 27959
Phone (252) 449-9120

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0101267208VAMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Russell Hospital Corporation CurrentSince Jul 1, 2013 Accepting new patients
RMH Medical Group LLC CurrentSince May 3, 2022 Accepting new patients
Vidant Medical Group LLC CurrentSince Feb 27, 2023 Accepting new patients
Greenville Health System CurrentSince May 11, 2015 Accepting new patients
Russell Hospital Corporation CurrentSince Jul 1, 2013 Accepting new patients
Prisma Health University Medical Group Current Accepting new patients
Prisma Health University Medical Group CurrentSince Oct 1, 2016 Accepting new patients
Greenville Health System CurrentSince May 11, 2015 Accepting new patients
GHS Partners in Health, Inc. Surgery CurrentSince May 11, 2015 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
RMH Medical Group LLC CurrentSince May 3, 2022 Accepting new patients
Greenville Health System Current Accepting new patients
Unc Physicians Network LLC CurrentSince Jun 2, 2022 Accepting new patients
Prisma Health University Medical Group CurrentSince May 11, 2015 Accepting new patients
Outer Banks Professional Services, LLC Surgery CurrentSince Dec 6, 2022 Accepting new patients
McLeod Physician Associates II Past Accepting new patients
East Alabama Surgical Associates LLC Past Accepting new patients
Auburn Primary Care LLC PastSince Jun 1, 2010 Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

700 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3614

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

2811 McLamb Pl
Goldsboro, NC 27534
Phone (919) 587-3980

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

5221 Paramount Pkwy
Ste 220
Morrisville, NC 27560
Phone (984) 215-4110

4810 S Croatan Hwy
Ste 250
Nags Head, NC 27959
Phone (252) 261-4885

5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800

210 Freeman Farm Rd
Duncan, SC 29334
Phone (864) 968-5123

1 Independence Pt
Ste 212
Greenville, SC 29615
Phone (864) 797-6306

10110 Clemson Blvd
Seneca, SC 29678
Phone (864) 482-0500

107 Omni Dr
#A
Seneca, SC 29672
Phone (864) 482-3000

298 Memorial Dr
Seneca, SC 29672
Phone (864) 482-3100

100 Omni Dr
#B
Seneca, SC 29672
Phone (864) 482-2350

103 Omni Dr
#B
Seneca, SC 29672
Phone (864) 482-3285

136 W Elizabeth St
Ste 201
Harrisonburg, VA 22802
Phone (540) 564-5104

2006 Health Campus Dr
Ste 200
Rockingham, VA 22801
Phone (540) 689-5555

Interoperability endpoints

  • Direct secure messaging: jmihalik863209@direct.unc.nchie.net
  • Direct secure messaging: jennifer.mihalik@mpaii.eclinicaldirectplus.com

Organizations & group practices 18

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.

View all 18

NPI Registry JSON

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

{
    "created_epoch": "1184198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1275732067",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 200",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "757-579-8580"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 HEALTH CAMPUS DR STE 200",
            "city": "ROCKINGHAM",
            "state": "VA",
            "postal_code": "228018679",
            "telephone_number": "540-689-5800",
            "fax_number": "757-579-8580"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "103 Omni Dr Ste B",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Seneca",
            "state": "SC",
            "postal_code": "296729448",
            "country_code": "US",
            "telephone_number": "864-886-9250",
            "fax_number": "864-886-9251",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1906 Thomson Dr",
            "address_purpose": "LOCATION",
            "city": "Lynchburg",
            "state": "VA",
            "postal_code": "24501",
            "country_code": "US",
            "telephone_number": "434-200-3933",
            "fax_number": "434-200-3988",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MIHALIK",
        "first_name": "JENNIFER",
        "middle_name": "ERIN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-12",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "SC",
            "license": "37870",
            "primary": false
        },
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "VA",
            "license": "0101267208",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS AND BLUE SHIELD",
            "identifier": "511-19876",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "131464",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jennifer.mihalik@mpaii.eclinicaldirectplus.com",
            "affiliation": "N",
            "endpointDescription": "ECW DA",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "EHR",
            "address_1": "721 S Doctors Dr Ste C",
            "city": "Cheraw",
            "state": "SC",
            "country_code": "US",
            "postal_code": "295207108",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rockingham, VA

Sources for this page

Verify at the official NPI Registry.