Individual provider Active NPI

Edward W Jernigan, MD

  • Surgery of the Hand (Surgery) Physician
  • Raleigh, NC
National Provider Identifier
1356600597
Registry record updated Jun 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery of the Hand (Surgery) PhysicianTaxonomy code 2086S0105X
License
2018-01948 Issued in NC
Practice address
3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone
(919) 781-5600
Fax
(919) 863-6821
NPI assigned
May 9, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery of the Hand (Surgery) Physician 2086S0105X 2018-01948 NC Primary
Orthopaedic Surgery Physician 207X00000X 2018-01948 NC
Orthopaedic Hand Surgery Physician 207XS0106X 2018-01948 NC

Addresses

Primary practice location

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243

Mailing address

3001 Edwards Mill Rd Ste 200
Raleigh, NC 27612-5243
Phone (919) 781-5600

Other practice location 1

6715 McCrimmon Pkwy Ste 205
Cary, NC 27519-1916
Phone (919) 781-5600

Other practice location 2

781 Avent Ferry Rd Ste 110
Holly Springs, NC 27540-7776
Phone (919) 781-5600

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address EDWARDJERNIGAN.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM Direct

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
I20181107000541 NC Practitioner - Hand SurgeryPractitioner - Orthopedic Surgery 5193015329 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Hand Surgery
Education
University of North Carolina at Chapel Hill School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Orthopaedic Clinic PAGroup PAC ID 9032012638, 125 clinicians

Practice addresses (Care Compare)

3001 Edwards Mill Rd
Suite 200
Raleigh, NC 27612-5243
Phone (919) 863-6856

Hospital & facility affiliations

  • Rex Hospital Hospital, Raleigh, NC, CCN 340114

Merit-based Incentive Payment System (MIPS)

Final score
90.3 of 100Reported as individual
Quality
85.09
Promoting interoperability
95
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Hip replacement1-10
Melanoma (skin cancer) excision1-10
Removal of tissue1-10
Removal of nail tissue1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Orthopaedic Clinic PA Orthopaedic Surgery CurrentSince Sep 4, 2018 Accepting new patients

Locations

6715 McCrimmon Pkwy
Ste 205
Cary, NC 27519
Phone (910) 997-3733

1325 Timber Dr E
Garner, NC 27529
Phone (919) 863-6856

781 Avent Ferry Rd
Ste 110
Holly Springs, NC 27540
Phone (919) 645-1411

3001 Edwards Mill Rd
Ste 204
Raleigh, NC 27612

3001 Edwards Mill Rd
Ste 200
Raleigh, NC 27612
Phone (919) 863-6852

3515 Glenwood Ave
Raleigh, NC 27612
Phone 91978156006856

11200 Governor Manly Way
Ste 309
Raleigh, NC 27614
Phone 9195629410247

Interoperability endpoints

  • Direct secure messaging: edwardjernigan.raleighortho@939.direct.myezyaccess.com

Organizations & group practices 1

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1336521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718064000000",
    "number": "1356600597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3001 EDWARDS MILL RD STE 200",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276125243",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6715 McCrimmon Pkwy Ste 205",
            "address_purpose": "LOCATION",
            "city": "Cary",
            "state": "NC",
            "postal_code": "275191916",
            "country_code": "US",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "781 Avent Ferry Rd Ste 110",
            "address_purpose": "LOCATION",
            "city": "Holly Springs",
            "state": "NC",
            "postal_code": "275407776",
            "country_code": "US",
            "telephone_number": "919-781-5600",
            "fax_number": "919-863-6821",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JERNIGAN",
        "first_name": "EDWARD",
        "middle_name": "W",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-05-09",
        "last_updated": "2024-06-11",
        "certification_date": "2024-06-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0105X",
            "taxonomy_group": "",
            "desc": "Surgery, Surgery of the Hand",
            "state": "NC",
            "license": "2018-01948",
            "primary": true
        },
        {
            "code": "207X00000X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery",
            "state": "NC",
            "license": "2018-01948",
            "primary": false
        },
        {
            "code": "207XS0106X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Hand Surgery",
            "state": "NC",
            "license": "2018-01948",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "EDWARDJERNIGAN.RALEIGHORTHO@939.DIRECT.MYEZYACCESS.COM",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "3001 Edwards Mill Rd Ste 200",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276125243",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.