Jehon Amen
Individual provider Active NPI Internal Medicine Physician · Mooresville, NC
NPI 1336600121 · NPPES record last updated Aug 15, 2022
Key facts
- NPI
- 1336600121
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Internal Medicine Physician 207R00000X
- License
- 2022-00604 (NC)
- Practice address
- 157 Professional Park Dr Ste a
Mooresville, NC 28117-5606 - Phone
- (704) 662-3967
- Fax
- (704) 662-3975
- NPI assigned
- Mar 26, 2019
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Hospital & facility affiliations 1
Medicare Care Compare profile
- Specialty
- Internal Medicine
- Education
- Lake Erie Col of Osteo Med at Seton Hill Univ, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Allied Im LLC
Practice addresses (Care Compare)
119 Oakfield Dr
Brandon, FL 33511-5779
Phone (813) 681-5551
Hospital & facility affiliations
- HCA Florida Brandon Hospital
Merit-based Incentive Payment System (MIPS)
- Final score
- 88.07 of 100
- Quality
- 73.89
- Promoting interoperability
- 100
- Improvement activities
- 40
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in FL
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: Yes
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20241210002090 | FL | Practitioner - Internal Medicine | 5890171011 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Doctor of Osteopathy
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2022-00604 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Im LLC | Internal Medicine | Current |
Accepting new patients |
Locations
119 Oakfield Dr
Brandon, FL 33511
Phone (813) 571-5150
Interoperability endpoints
- jehon.amen.1@4693.direct.athenahealth.com
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2022-00604 | NC | Yes |
Addresses
Primary practice location
157 Professional Park Dr Ste a
Mooresville, NC 28117-5606
Mailing address
157 Professional Park Dr Ste a
Mooresville, NC 28117-5606
Phone (704) 662-3967
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jehon.amen.1@4693.direct.athenahealth.com |
Other providers in Mooresville, NC
- Alternative Chiropractic PLLC
- Rachel Alvarez
- Alyssa and Matthew Drake DDS PLLC
- Kerlande Ambroise-Jean
- Ginger Ambron
- Samantha Lynne Ameredes
- American Family Care Greensboro
- Amy Lowery, LMFT, PLLC
- Anchor Interventional Psychiatry
- Aaron Robert Anderson
All providers in Mooresville, NC · Internal Medicine Physician in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 15, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.