Active NPI
Christopher Chad Kornegay, MD
- Internal Medicine Physician
- Greenville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2008-00655
- Practice address
- 521B Moye Blvd. 2ND Floor
Ecu Physicians Moye Medical Center
Greenville, NC 27834 - Phone
- (252) 744-3229
- Fax
- (252) 744-3924
- NPI assigned
- Jul 23, 2007
- 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 |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| Internal Medicine Physician | 207R00000X | 2008-00655 | NC | Primary |
Addresses
Primary practice location
521B Moye Blvd. 2ND Floor
Ecu Physicians Moye Medical Center
Greenville, NC 27834
Mailing address
521B Moye Blvd. 2ND Floor
Ecu Physicians Moye Medical Center
Greenville, NC 27834
Phone (252) 744-3229
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5911629 | Medicaid | NC | |
| P00748878 | Other | NC | MEDICARE RAILROAD |
| 1526V | Other | NC | BCBS NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | ckornegay3056@direct.vidanthealth.com |
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
- Internal Medicine
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
401 A N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
401 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-0941
417 N Main St
Kenansville, NC 28349-8801
Phone (910) 296-8080
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2008-00655 | NC | MD | Internal Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
Interoperability endpoints
- ckornegay3056@direct.ecuhealth.com
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
- Community Based Hospice Care Agency
- Kenansville, NC
- NPI 1952771958
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1185148800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1641427200000",
"number": "1609076140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "521B MOYE BLVD. 2ND FLOOR",
"address_2": "ECU PHYSICIANS MOYE MEDICAL CENTER",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-744-3229",
"fax_number": "252-744-3924"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "521B MOYE BLVD. 2ND FLOOR",
"address_2": "ECU PHYSICIANS MOYE MEDICAL CENTER",
"city": "GREENVILLE",
"state": "NC",
"postal_code": "27834",
"telephone_number": "252-744-3229",
"fax_number": "252-744-3924"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNEGAY",
"first_name": "CHRISTOPHER",
"middle_name": "CHAD",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-07-23",
"last_updated": "2022-01-06",
"certification_date": "2022-01-06",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": null,
"license": null,
"primary": false
},
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2008-00655",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5911629",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00748878",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS NC",
"identifier": "1526V",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "ckornegay3056@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greenville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2022; 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.