Thomas Edward Jenike, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

9601351 Issued in NC

Practice address

106 Langtree Village Dr Ste 200
Mooresville, NC 28117-7594

Phone

(704) 384-7101

Fax

(704) 384-7101

NPI assigned

Jan 18, 2006

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

Electronic endpoints 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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

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.

• NH Digital Health Services, LLC

  dba Novant Health Digital Care Group

  • Family Medicine Physician
  • Winston Salem, NC
  • NPI 1427683044
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Endocrinology

  • Endocrinology, Diabetes & Metabolism Physician
  • Charlotte, NC
  • NPI 1306950282
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Pediatric Neurology & Sleep

  • Neurology with Special Qualifications in Child Neurology Physician
  • Charlotte, NC
  • NPI 1366409492
  Medicare reassignment NPD
• Novant Health Medical Group, LLC

  dba Novant Health Heart and Vascular Institute

  • Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
  • Charlotte, NC
  • NPI 1891764320
  Medicare reassignment
• NH Digital Health Services, LLC

  dba Novant Health Virtual Oncology Care

  • Hematology & Oncology Physician
  • Winston Salem, NC
  • NPI 1386506855
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Lakeside Primary Care

  • Family Medicine Physician
  • Locust, NC
  • NPI 1114105533
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Orthopedics & Sports Medicine

  • Orthopaedic Surgery Physician
  • Cornelius, NC
  • NPI 1215179296
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Elizabeth OB/GYN

  • Obstetrics & Gynecology Physician
  • Matthews, NC
  • NPI 1386506137
  NPD
• Novant Medical Group Inc

  dba Novant Health Urology

  • Urology Physician
  • Kernersville, NC
  • NPI 1164881462
  NPD
• Novant Medical Group, Inc.

  dba Heart Specialists of Brunswick

  • Cardiovascular Disease Physician
  • Southport, NC
  • NPI 1679528384
  NPD
• Novant Health Medical Group, LLC

  dba Novant Health Lakeside Family Physicians

  • Family Medicine Physician
  • Cornelius, NC
  • NPI 1356394308
  NPD (past)

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

{
    "created_epoch": "1137542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682553600000",
    "number": "1417937368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "704-384-7101",
            "fax_number": "704-384-7102"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "106 LANGTREE VILLAGE DR STE 200",
            "city": "MOORESVILLE",
            "state": "NC",
            "postal_code": "281177594",
            "telephone_number": "704-384-7101",
            "fax_number": "704-384-7101"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16525 Holly Crest Ln",
            "address_2": "Suite 150",
            "address_purpose": "LOCATION",
            "city": "Huntersville",
            "state": "NC",
            "postal_code": "280784909",
            "country_code": "US",
            "telephone_number": "704-384-1725",
            "fax_number": "704-384-1726",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JENIKE",
        "first_name": "THOMAS",
        "middle_name": "EDWARD",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-18",
        "last_updated": "2023-04-27",
        "certification_date": "2023-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "9601351",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911472",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "TJENIKE5349@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "106 Langtree Village Dr Ste 200",
            "city": "Mooresville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "281177594",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Jane Sanders, PLLC (Lake City Psychiatry)
• Vijaykumar Ramnikal Jarsania, MD
• Jason E Mastor MD,PA
• Lindsay Vaughan Jayson, PA
• Lashonda Trinette Jean, RN
• Kristin Jenkins
• Melodee Jensen, LCMHC-A
• Jireh Providers L.L.C
• John E Latz MD PLLC
• Brittany Evelyn Johnson, C.P.

• Family Medicine Physician in Mooresville, NC
• Providers in Mooresville, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2023; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.