Individual provider Active NPI

Mary Sherwyn Mouw, M.D.

  • Family Medicine Physician
  • Chapel Hill, NC
National Provider Identifier
1619317328
Registry record updated Apr 16, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
200000560 Issued in NC
Practice address
Unc Hospitals--Geriatric Medicine
5003 Old Clinic Building, CB #7550
Chapel Hill, NC 27599-7550
Phone
(919) 445-6764
Fax
(919) 966-9746
NPI assigned
Jun 26, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 16, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 200000560 NC Primary

Addresses

Primary practice location

Unc Hospitals--Geriatric Medicine
5003 Old Clinic Building, CB #7550
Chapel Hill, NC 27599-7550

Mailing address

Unc Hospitals--Geriatric Medicine
5003 Old Clinic Building, CB #7550
Chapel Hill, NC 27599-7550
Phone (919) 445-6764

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
I20210111000192 NC Practitioner - Geriatric Medicine 2961437363 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200000560NCMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Health Services, Inc. Current Accepting new patients
Piedmont Health Services, Inc. CurrentSince Jan 6, 2021 Accepting new patients
Piedmont Health Services, Inc. CurrentSince Jan 6, 2021 Accepting new patients
Raleigh Durham Medical Group PA Family Medicine Past Accepting new patients

Locations

1214 Vaughn Rd
Burlington, NC 27217
Phone (336) 506-5840

301 Lloyd St
Carrboro, NC 27510
Phone (919) 933-9087

7228 Moncure Pittsboro Rd
Moncure, NC 27559
Phone (919) 542-1641

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1372204800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1492300800000",
    "number": "1619317328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "UNC HOSPITALS--GERIATRIC MEDICINE",
            "address_2": "5003 OLD CLINIC BUILDING, CB #7550",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997550",
            "telephone_number": "919-445-6764",
            "fax_number": "919-966-9746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "UNC HOSPITALS--GERIATRIC MEDICINE",
            "address_2": "5003 OLD CLINIC BUILDING, CB #7550",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997550",
            "telephone_number": "919-445-6764",
            "fax_number": "919-966-9746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUW",
        "first_name": "MARY",
        "middle_name": "SHERWYN",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-26",
        "last_updated": "2017-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "200000560",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.