Andrea Mercedes Jimenez, M.D.

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

32741 Issued in NC

Practice address

412 Caldwell Ext
Building 2
Chapel Hill, NC 27516-2065

Phone

(919) 913-4200

Fax

(919) 913-4201

NPI assigned

May 24, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Oct 1, 2021 through Oct 1, 2027

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

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.

• Freedom House Recovery Center, Inc.

  • Community/Behavioral Health Agency
  • Chapel Hill, NC
  • NPI 1548490378
  NPD (past)
• Youth Development Corporation of America

  • Community/Behavioral Health Agency
  • Henderson, NC
  • NPI 1629023569
  NPD (past)

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

{
    "created_epoch": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1295780393",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1709 LEGION RD",
            "address_2": "SUITE 104",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275172375",
            "telephone_number": "919-913-4200",
            "fax_number": "919-913-4201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "412 CALDWELL EXT",
            "address_2": "BUILDING 2",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275162065",
            "telephone_number": "919-913-4200",
            "fax_number": "919-913-4201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ANDREA",
        "middle_name": "MERCEDES",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "32741",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8945947",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kuan Jiang, MD
• Min Jiang
• Simon Jiang, MD
• Cheng Jiao, MD
• Katherine Jicha
• Ariel Jimenez, MD
• Samiat Jinadu, M.D
• JMP Optometry, PLLC
• Joel Jo
• Joan Murray Jobsis, PHD

• Psychiatry Physician in Chapel Hill, NC
• Providers in Chapel Hill, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.