Active NPI
Jeffrey Todd Hedges, PA-C
- Physician Assistant
- Greensboro, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-06254
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 108683300 | Medicaid | FL |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, FL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
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
| License | State | Type | Specialty |
|---|---|---|---|
| PA9113430 | FL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Baycare Medical Group, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services Inc | Current | 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.
-
dba Reidsville Endocrinology Associates
- Endocrinology, Diabetes & Metabolism Physician
- Reidsville, NC
- NPI 1780004556
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
-
- Multi-Specialty Clinic/Center
- Statesville, NC
- NPI 1396216735
-
- General Practice Physician
- Clearwater, FL
- NPI 1043269871
-
dba Triad Hospitalists
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
dba Cone Health Medical Group Primary Care at Forest Oaks
- Family Medicine Physician
- Greensboro, NC
- NPI 1811424849
-
- Family Medicine Physician
- Clearwater, FL
- NPI 1659720837
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Greensboro, NC
- NPI 1477591055
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2024; 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.