Individual provider Active NPI

Jorge Sebastian Merino Herrera, MD

  • Family Medicine Physician
  • Greensboro, NC
National Provider Identifier
1306332739
Registry record updated Feb 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2023-02864 Issued in NC
Practice address
2703 W Gate City Blvd Ste J
Greensboro, NC 27403-3130
Phone
(336) 790-5400
Fax
(336) 790-2714
NPI assigned
Jul 9, 2018
Last updated
Feb 20, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2023-02864 NC Primary

Addresses

Primary practice location

2703 W Gate City Blvd Ste J
Greensboro, NC 27403-3130

Mailing address

2703 W Gate City Blvd Ste J
Greensboro, NC 27403-3130
Phone (336) 790-5400

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jorge.merino.herrera.1@29601.direct.athenahealth.com

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
I20231010000787 NC Practitioner - Family Practice 1052715588 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1999
Medicare assignment
May accept Medicare assignment
Group practices

Practice addresses (Care Compare)

2703 W Gate City Blvd
Suite J
Greensboro, NC 27403-3130
Phone (336) 790-5400

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Centerwell Senior Primary Care (NC) PC Family Medicine Current Accepting new patients
Centerwell Senior Primary Care (NC), P.C. Family Medicine CurrentSince Dec 1, 2024 Accepting new patients
Centerwell Senior Primary Care (NC) PC Family Medicine Past Accepting new patients
Centerwell Senior Primary Care NC JV PC Family Medicine Past Accepting new patients

Locations

2910 E Franklin Blvd
Ste 1
Gastonia, NC 28056
Phone (704) 648-0460

2703 W Gate City Blvd
Ste J
Greensboro, NC 27403
Phone (336) 790-5400

3409 Thomasville Rd
Winston Salem, NC 27107
Phone (743) 229-3300

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": "1531094400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1771545600000",
    "number": "1306332739",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2703 W GATE CITY BLVD STE J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033130",
            "telephone_number": "336-790-5400",
            "fax_number": "336-790-2714"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2703 W GATE CITY BLVD STE J",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274033130",
            "telephone_number": "336-790-5400",
            "fax_number": "336-790-2714"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MERINO HERRERA",
        "first_name": "JORGE",
        "middle_name": "SEBASTIAN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-07-09",
        "last_updated": "2026-02-20",
        "certification_date": "2026-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2023-02864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jorge.merino.herrera.1@29601.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "2703 W Gate City Blvd Ste J",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274033130",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.