Individual provider Active NPI

Jennifer Elizabeth Flythe, MD

  • Nephrology Physician
  • Chapel Hill, NC
National Provider Identifier
1417165630
Registry record updated Sep 21, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
2014-00187 Issued in NC
Practice address
7024 Burnett Womack
CB 7155
Chapel Hill, NC 27599-7155
Phone
(919) 445-2656
Fax
(919) 966-4251
NPI assigned
May 20, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 2014-00187 NC Primary

Addresses

Primary practice location

7024 Burnett Womack
CB 7155
Chapel Hill, NC 27599-7155

Mailing address

7024 Burnett Womack
CB 7155
Chapel Hill, NC 27599-7155
Phone (919) 445-2656

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
I20140722000451 NC Practitioner - NephrologyPractitioner - Internal Medicine 2264588540 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
NephrologyAlso: Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

101 Manning Dr
Chapel Hill, NC 27514-4220

430 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

460 Waterstone Dr
Hillsborough, NC 27278-9078
Phone (984) 215-2000

480 Hillsboro St
Suite 800
Pittsboro, NC 27312-9939
Phone (919) 542-5545

76 Old Rock Spring Cem Rd
Pittsboro, NC 27312-5055
Phone (919) 545-0019

Hospital & facility affiliations

  • FMC Carolina Dialysis Pittsboro Dialysis facility, Pittsboro, NC, CCN 342617
  • Unc Hospitals Hospital, Chapel Hill, NC, CCN 340061

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2014-00187NCMDNephrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Unc Physicians Network LLC CurrentSince Dec 22, 2021 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
University of North Carolina at Chapel Hill CurrentSince May 1, 2014 Accepting new patients
Unc Physicians Network, LLC CurrentSince Dec 22, 2021 Accepting new patients
Massachusetts Institute of Technology Past Accepting new patients
Park Ophthalmology Past Accepting new patients

Locations

102 Mason Farm Rd
Chapel Hill, NC 27514
Phone (919) 966-1459

102 Mason Farm Rd
Chapel Hill, NC 27599
Phone (919) 966-1459

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

1139 Carthage St
Ste 105
Sanford, NC 27330
Phone (919) 774-2875

Organizations & group practices 6

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 2

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": "1179619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1474416000000",
    "number": "1417165630",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7024 BURNETT WOMACK",
            "address_2": "CB 7155",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997155",
            "telephone_number": "919-445-2656",
            "fax_number": "919-966-4251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7024 BURNETT WOMACK",
            "address_2": "CB 7155",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997155",
            "telephone_number": "919-445-2656",
            "fax_number": "919-966-4251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "FLYTHE",
        "first_name": "JENNIFER",
        "middle_name": "ELIZABETH",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-20",
        "last_updated": "2016-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "2014-00187",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.