Individual provider Active NPI

Jeffrey Todd Hedges, PA-C

  • Physician Assistant
  • Greensboro, NC
National Provider Identifier
1598123457
Registry record updated Feb 28, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-06254 Issued in NC
Practice address
1002 N Church St Ste 100
Greensboro, NC 27401-1447
Phone
(336) 580-5157
NPI assigned
Feb 8, 2016
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 28, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA9113430 FL
Surgical Physician Assistant 363AS0400X PA9113430 FL
Physician Assistant 363A00000X 0010-06254 NC Primary

Addresses

Primary practice location

1002 N Church St Ste 100
Greensboro, NC 27401-1447

Mailing address

400 Pinellas St Ste 325
Clearwater, FL 33756-3320
Phone (727) 298-6121

Other practice location 1

400 Pinellas St Ste 325
Clearwater, FL 33756-3320
Phone (727) 298-6121

Other identifiers 1

IdentifierTypeStateIssuer
108683300MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, FL2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20160329001970 NC Practitioner - Physician Assistant 3870890304 Reassigns benefits to 3 organizations
I20201116001861 FL Practitioner - Physician Assistant 3870890304 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1002 N Church St
Suite 100
Greensboro, NC 27401-1447

1107 S Main St
Reidsville, NC 27320-5313
Phone (336) 951-6070

1127 N Church St
Greensboro, NC 27401-1007
Phone (336) 832-7120

1236 Huffman Mill Rd
Burlington, NC 27215-8700

1240 Huffman Mill Rd
Burlington, NC 27215-8700
Phone (336) 538-7000

1248 Huffman Mill Rd
Burlington, NC 27215-8700

301 E Wendover Ave
Suite 411
Greensboro, NC 27401-1211
Phone (336) 832-3210

3812 N Elm St
Greensboro, NC 27455-2596
Phone (336) 294-1833

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
PA9113430FLMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baycare Medical Group, Inc. CurrentSince Dec 14, 2020 Accepting new patients
Moses Cone Physician Services, Inc. CurrentSince Jun 1, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Oct 1, 2024 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Jun 1, 2023 Accepting new patients

Locations

2995 Drew St
Fl 2
Clearwater, FL 33759
Phone (727) 315-7234

400 Pinellas St
Ste 325
Clearwater, FL 33756
Phone (727) 298-6121

2461 Enterprise Rd
Ste C
Clearwater, FL 33763
Phone (727) 725-5060

1240 Huffman Mill Rd
Burlington, NC 27215
Phone (336) 538-7000

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

1002 N Church St
Ste 100
Greensboro, NC 27401
Phone (336) 275-6600

1107 S Main St
Reidsville, NC 27320
Phone (336) 348-6664

Organizations & group practices 7

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 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": "1454889600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709078400000",
    "number": "1598123457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 PINELLAS ST STE 325",
            "city": "CLEARWATER",
            "state": "FL",
            "postal_code": "337563320",
            "telephone_number": "727-298-6121",
            "fax_number": "727-298-6151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1002 N CHURCH ST STE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274011447",
            "telephone_number": "336-580-5157"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Pinellas St Ste 325",
            "address_purpose": "LOCATION",
            "city": "Clearwater",
            "state": "FL",
            "postal_code": "337563320",
            "country_code": "US",
            "telephone_number": "727-298-6121",
            "fax_number": "727-298-6151",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "JEFFREY",
        "middle_name": "TODD",
        "name_prefix": "Mr.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-08",
        "last_updated": "2024-02-28",
        "certification_date": "2023-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9113430",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "FL",
            "license": "PA9113430",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-06254",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108683300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.