Individual provider Active NPI

Jane Beebe Kehaya, MD

  • Obstetrics & Gynecology Physician
  • Wilmington, NC
National Provider Identifier
1528322948
Registry record updated Nov 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
2016-01220 Issued in NC
Practice address
510 Carolina Bay Dr
Suite 100
Wilmington, NC 28403-2041
Phone
(910) 338-0795
NPI assigned
Jun 29, 2012
Last updated
Nov 16, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 2016-01220 NC Primary

Addresses

Primary practice location

510 Carolina Bay Dr
Suite 100
Wilmington, NC 28403-2041

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833

Other practice location 2

1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833

Other practice location 3

1333 S Dickinson Dr
Suite 110
Leland, NC 28451-6430
Phone (910) 399-6543

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address Ambulatory@direct.carolinashealthcare.org Atrium Health
Direct Messaging Address jkehaya125952@direct.nhrmc.org

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
I20170104002226 NC Practitioner - Obstetrics/Gynecology 4183948797 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1809 Glen Meade Rd
Wilmington, NC 28403-6022
Phone (910) 763-9833

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10
Removal of the uterus1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Mar 1, 2017 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health Medical Group Coastal Region, LLC Current Accepting new patients
New Hanover Medical Group PA Past Accepting new patients

Locations

400 N Elm St
High Point, NC 27262
Phone (336) 802-2120

1333 S Dickinson Dr
Unit 110
Leland, NC 28451
Phone (910) 399-6543

250 Hospital Dr
Lexington, NC 27292
Phone (336) 238-4150

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1809 Glen Meade Rd
Wilmington, NC 28403
Phone (910) 763-9833

2131 S 17th St
Wilmington, NC 28401
Phone (910) 342-3000

510 Carolina Bay Dr
Ste 100
Wilmington, NC 28403
Phone (910) 338-0795

Medical Ctr Blvd
Winston Salem, NC 27157
Phone (336) 713-2697

Interoperability endpoints

  • Direct secure messaging: jkehaya1461242@direct.novanthealth.org

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1340928000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1668556800000",
    "number": "1528322948",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "510 CAROLINA BAY DR",
            "address_2": "SUITE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284032041",
            "telephone_number": "910-338-0795"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1809 Glen Meade Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036022",
            "country_code": "US",
            "telephone_number": "910-763-9833",
            "fax_number": "910-763-5166",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1809 Glen Meade Rd",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284036022",
            "country_code": "US",
            "telephone_number": "910-763-9833",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1333 S Dickinson Dr",
            "address_2": "Suite 110",
            "address_purpose": "LOCATION",
            "city": "Leland",
            "state": "NC",
            "postal_code": "284516430",
            "country_code": "US",
            "telephone_number": "910-399-6543",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KEHAYA",
        "first_name": "JANE",
        "middle_name": "BEEBE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-06-29",
        "last_updated": "2022-11-16",
        "certification_date": "2022-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "NC",
            "license": "2016-01220",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "Ambulatory@direct.carolinashealthcare.org",
            "affiliation": "Y",
            "affiliationName": "Atrium Health",
            "address_1": "1333 S Dickinson Dr",
            "address_2": "Suite 110",
            "city": "Leland",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284516430",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jkehaya125952@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1809 Glen Meade Rd",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284036022",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.