Active NPI
Jack Watson Noneman, M.D.
- Cardiovascular Disease Physician
- Raleigh, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Cardiovascular Disease Physician
- License
- 21836
- Practice address
- 3324 Six Forks Rd
Raleigh, NC 27609-7233 - Phone
- (919) 781-7772
- Fax
- (919) 787-6331
- NPI assigned
- Jul 20, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Cardiovascular Disease Physician | 207RC0000X | 21836 | NC | Primary |
| Internal Medicine Physician | 207R00000X | 21836 | NC |
Addresses
Primary practice location
3324 Six Forks Rd
Raleigh, NC 27609-7233
Mailing address
3324 Six Forks Rd
Raleigh, NC 27609-7233
Phone (919) 781-7772
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8962984 | Medicaid | NC |
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
- Cardiovascular Disease (Cardiology)
- Education
- University of North Carolina at Chapel Hill School of Medicine, 1977
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Carolina Physical Therapy Associates LLC
Practice addresses (Care Compare)
271 Old Barn Rd
Suite C
Hendersonville, NC 28791-8406
Phone (828) 890-4905
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21836 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Carolina Cardiology Consultants, PA | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group LLC | Current | Accepting new patients | |
| Wakemed Specialists Group, LLC | Cardiovascular Disease | Current | Accepting new patients |
| Rex Hospital, Inc. | Past | Accepting new patients | |
| Wakemed Faculty Practice Plan | Past | Accepting new patients | |
| Wakemed Faculty Practice Plan | Internal Medicine | Past | Accepting new patients |
| Wake Specialty Physicians, LLC | Internal Medicine | Past | Accepting new patients |
Locations
1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300
868 Timber Dr
Garner, NC 27529
Phone (919) 615-0057
3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000
3324 Six Forks Rd
Raleigh, NC 27609
Phone (919) 781-7772
3400 Wake Forest Rd
Raleigh, NC 27609
Phone (919) 954-3000
10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300
3024 New Bern Ave
Ste 300
Raleigh, NC 27610
Phone (919) 350-8228
10000 Falls of Neuse Rd
Ste 205
Raleigh, NC 27614
Phone (919) 350-1630
Interoperability endpoints
- jnoneman7473@directhisp.wakemed.org
Organizations & group practices 8
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.
-
- Cardiovascular Disease Physician
- Raleigh, NC
- NPI 1588227839
-
- Specialist
- Raleigh, NC
- NPI 1336130178
-
- Cardiac Rehabilitation Registered Nurse
- Raleigh, NC
- NPI 1063304228
-
- Urology Physician
- Raleigh, NC
- NPI 1205491487
-
- Nutrition Education Nutritionist
- Raleigh, NC
- NPI 1821472572
-
- Pediatric Critical Care Medicine Physician
- Raleigh, NC
- NPI 1013203819
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Raleigh, NC
- NPI 1497797088
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1121817600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1424995200000",
"number": "1447259502",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3324 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097233",
"telephone_number": "919-781-7772",
"fax_number": "919-787-6331"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3324 SIX FORKS RD",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276097233",
"telephone_number": "919-781-7772",
"fax_number": "919-787-6331"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NONEMAN",
"first_name": "JACK",
"middle_name": "WATSON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-07-20",
"last_updated": "2015-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "NC",
"license": "21836",
"primary": true
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "21836",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8962984",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2015; 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.