John Davidson Cheesborough, MD

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

21635 Issued in NC

Practice address

1911 K M Wicker Memorial Dr
Sanford, NC 27330-5070

Phone

(919) 775-7926

Fax

(919) 718-0092

NPI assigned

Feb 22, 2006

Last updated

Jul 15, 2022By the provider in NPPES

Sex

Male

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

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

Specialty

Dermatology

Education

Duke University School of Medicine, 1975

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Sanford Dermatology, PLLCGroup PAC ID 1355560152, 5 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

98.88 of 100Reported as individual

Quality

97.76

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

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.

• Sanford Dermatology PLLC

  • Dermatology Physician
  • Sanford, NC
  • NPI 1205240868
  Medicare reassignment Care Compare group
• Sanford Dermatology, PA

  • Specialist
  • Sanford, NC
  • NPI 1487720264

  Dermatology

  NPD

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

{
    "created_epoch": "1140566400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1657843200000",
    "number": "1396710380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1911 K M WICKER MEMORIAL DR",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273305070",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "959 East St Ste B",
            "address_purpose": "LOCATION",
            "city": "Pittsboro",
            "state": "NC",
            "postal_code": "273128861",
            "country_code": "US",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "100 S 10th St",
            "address_purpose": "LOCATION",
            "city": "Lillington",
            "state": "NC",
            "postal_code": "275466690",
            "country_code": "US",
            "telephone_number": "919-775-7926",
            "fax_number": "919-718-0092",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CHEESBOROUGH",
        "first_name": "JOHN DAVIDSON",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-22",
        "last_updated": "2022-07-15",
        "certification_date": "2022-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "NC",
            "license": "21635",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NORTH CAROLINA MEDICAL BOARD",
            "identifier": "21635",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Erin L Chambers, PA-C
• Janessa Jean Chambers
• Emily H Chang, MD
• Erin R Chattaway
• Janet A Cheek, MSW LCSW
• Dhruti Patel Chen, MD
• Maryland Chenier, MPH
• Michael T Chesney
• Melissa Dawn Chestang, MSW, LCSW-A
• Shannon Chia Ngong

• Dermatology Physician in Sanford, NC
• Providers in Sanford, NC by specialty
• Dermatology Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2022; 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.

Verify at the official NPI Registry.