Active NPI
Charles Shingirai Jere, MD
- Nephrology Physician
- Rocky Mount, NC
National Provider Identifier
1578730867
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 2008-00843
- Practice address
- 901 N Winstead Ave
Rocky Mount, NC 27804-8467 - Phone
- (252) 937-0241
- Fax
- (252) 937-3104
- NPI assigned
- May 15, 2008
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nephrology Physician | 207RN0300X | 2008-00843 | NC | Primary |
Addresses
Primary practice location
901 N Winstead Ave
Rocky Mount, NC 27804-8467
Mailing address
PO Box 7200
Rocky Mount, NC 27804-0200
Phone (252) 937-0200
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 6197502 | Other | CIGNA HEALTHCARE | |
| 5909391 | 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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20080612000548 | NC | Practitioner - Nephrology | 3476624818 | Reassigns benefits to 2 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Nephrology
- Education
- Other, 1994
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2460 Curtis Ellis Dr
Rocky Mount, NC 27804-2237
Phone (252) 962-8199
901 N Winstead Ave
Rocky Mount, NC 27804-8712
Phone (252) 937-0200
Hospital & facility affiliations
- FMC Bma of East Rocky Mount
- Fresenius Medical Care - Tarboro
- Unc Health Nash
- Vidant Edgecombe Hospital
- Ecu Health North Hospital
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nash Hospitals Inc | Current | Accepting new patients | |
| Boice-Willis Clinic PA | Nephrology | Current | Accepting new patients |
| Nash Hospitals, Inc. | Current | Accepting new patients | |
| Boice-Willis Clinic, PA | Current | Accepting new patients |
Locations
921 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0300
3221 Zebulon Rd
Rocky Mount, NC 27804
901 N Winstead Ave
Rocky Mount, NC 27804
Phone (252) 937-0200
2460 Curtis Ellis Dr
Rocky Mount, NC 27804
Phone (252) 443-8199
Interoperability endpoints
- charles.jere@bwc.eclinicaldirectplus.com
Organizations & group practices 4
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.
-
- Physical Therapy Clinic/Center
- Rocky Mount, NC
- NPI 1952557241
-
- Land Ambulance
- Rocky Mount, NC
- NPI 1275374290
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Tarboro, NC
- NPI 1861936395
Dialysis facility
-
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center
- Rocky Mount, NC
- NPI 1982716791
Dialysis facility
-
- General Acute Care Hospital
- Roanoke Rapids, NC
- NPI 1346273943
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210809600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1675209600000",
"number": "1578730867",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 7200",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278040200",
"telephone_number": "252-937-0200",
"fax_number": "252-451-0056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "901 N WINSTEAD AVE",
"city": "ROCKY MOUNT",
"state": "NC",
"postal_code": "278048467",
"telephone_number": "252-937-0241",
"fax_number": "252-937-3104"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JERE",
"first_name": "CHARLES",
"middle_name": "SHINGIRAI",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-15",
"last_updated": "2023-02-01",
"certification_date": "2023-02-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RN0300X",
"taxonomy_group": "",
"desc": "Internal Medicine, Nephrology",
"state": "NC",
"license": "2008-00843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "6197502",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5909391",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Rocky Mount, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 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.
- 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.