Active NPI
Jake Everett Turrentine, MD
- Dermatology Physician
- Hickory, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 2016-02183
- Practice address
- 1899 Tate Blvd SE Ste 2110
Hickory, NC 28602-4200 - Phone
- (828) 328-4449
- NPI assigned
- Apr 17, 2011
- Last updated
- Nov 2, 2017
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 072838 | GA | |
| Dermatology Physician | 207N00000X | ME121327 | FL | |
| Dermatology Physician | 207N00000X | 37485 | SC | |
| Dermatology Physician | 207N00000X | P8091 | TX | |
| Dermatology Physician | 207N00000X | 2016-02183 | NC | Primary |
Addresses
Primary practice location
1899 Tate Blvd SE Ste 2110
Hickory, NC 28602-4200
Mailing address
1899 Tate Blvd SE Ste 2110
Hickory, NC 28602-4200
Phone (828) 328-4449
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 072838 | Other | GA | GA LICENSES |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Other, 2011
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1899 Tate Blvd SE
Suite 2110
Hickory, NC 28602-4200
Phone (828) 328-4449
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 90.65 of 100
- Promoting interoperability
- 89
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Melanoma (skin cancer) excision | 408 |
| Removal of skin lesions | 1294 |
| Removal or shaving of skin growth | 1-10 |
| Skin biopsy | 880 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME121327 | FL | MD | Dermatology Physician |
| 2016-02183 | NC | MD | Dermatology Physician |
| 37485 | SC | MD | Dermatology Physician |
| P8091 | TX | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Skin Surgery Center PA | Dermatology | Current | Accepting new patients |
| Skin Surgery Center PA | Current | Accepting new patients |
Locations
1870 N Center St
Hickory, NC 28601
Phone (828) 322-7546
1899 Tate Blvd SE
Ste 2110
Hickory, NC 28602
Phone (828) 328-4449
111 Foothills Dr
Ste B
Morganton, NC 28655
Phone (828) 437-8158
532 W Park Cir
North Wilkesboro, NC 28659
Phone (336) 667-6600
1450 Professional Park Dr
Winston Salem, NC 27103
Phone (336) 724-2434
1450 Professional Park Dr
Ste 150
Winston Salem, NC 27103
Phone (336) 724-2434
Interoperability endpoints
- jake.turrentine@qdp.emadirect.md
Organizations & group practices 2
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.
-
- Dermatology Physician
- Winston Salem, NC
- NPI 1649237082
-
dba The Skin Surgery Center of Charleston
- MOHS-Micrographic Surgery Physician
- Mount Pleasant, SC
- NPI 1851810279
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba CMC Blue Ridge
- General Acute Care Hospital
- Rutherford College, NC
- NPI 1306821798
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Morganton, NC
- NPI 1417000837
Hospital
-
dba CMC Blue Ridge
- Hematology & Oncology Physician
- Valdese, NC
- NPI 1487707964
Hospital
-
dba UNC Health Blue Ridge
- General Acute Care Hospital
- Morganton, NC
- NPI 1700860491
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302998400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1509580800000",
"number": "1386934933",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1899 TATE BLVD SE STE 2110",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024200",
"telephone_number": "828-328-4449"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1899 TATE BLVD SE STE 2110",
"city": "HICKORY",
"state": "NC",
"postal_code": "286024200",
"telephone_number": "828-328-4449"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TURRENTINE",
"first_name": "JAKE",
"middle_name": "EVERETT",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-17",
"last_updated": "2017-11-02",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "072838",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "FL",
"license": "ME121327",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "SC",
"license": "37485",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TX",
"license": "P8091",
"primary": false
},
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "NC",
"license": "2016-02183",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GA LICENSES",
"identifier": "072838",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Hickory, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.