Active NPI
Jeremiah Thomas, DPM
- Foot & Ankle Surgery Podiatrist
- Sanford, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Foot & Ankle Surgery Podiatrist
- License
- 841
- Practice address
- 821 S Horner Blvd
Sanford, NC 27330-5359 - Phone
- (919) 292-1610
- NPI assigned
- Jun 26, 2022
- Last updated
- Dec 26, 2023
- 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 |
|---|---|---|---|---|
| Foot & Ankle Surgery Podiatrist | 213ES0103X | 841 | NC | Primary |
Addresses
Primary practice location
821 S Horner Blvd
Sanford, NC 27330-5359
Mailing address
171 School Side Dr
Spring Lake, NC 28390-9802
Phone (623) 466-4283
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: No
- Hospice: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Podiatry
- Education
- Western Un of HLTH Sciences, Col of Podiatric Med, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2701 New Bern Ave
Raleigh, NC 27610-1822
Phone (919) 231-7969
Hospital & facility affiliations
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of tissue | 163 |
| Removal of skin lesions | 1-10 |
| Removal of nail tissue | 227 |
| Removal or shaving of skin growth | 52 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 841 | NC | MD | Acupuncturist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Foot & Ankle Associates of North Carolina, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Foot & Ankle Associates of North Carolina, PLLC | Foot & Ankle Surgery | Current | Accepting new patients |
| Premier Foot & Ankle PLLC | Foot & Ankle Surgery | Past | Accepting new patients |
Locations
2701 New Bern Ave
Raleigh, NC 27610
Phone (919) 231-7969
740 Sutters Creek Blvd
Rocky Mount, NC 27804
Phone (252) 451-4040
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
- jthomas581417@directhisp.wakemed.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Foot & Ankle Surgery Podiatrist
- Rocky Mount, NC
- NPI 1790873503
-
- Clinical Medical Laboratory
- Raleigh, NC
- NPI 1659543833
Foot & Ankle Surgery
-
- Foot & Ankle Surgery Podiatrist
- Pinehurst, NC
- NPI 1447066139
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Medi Home Health Agency
- Home Health Agency
- Raleigh, NC
- NPI 1942252853
-
dba WakeMed Mental Health & Well-Being Hospital WakeBrook
- Psychiatric Hospital Unit
- Raleigh, NC
- NPI 1780446302
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1656201600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1703548800000",
"number": "1619609021",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "171 SCHOOL SIDE DR",
"city": "SPRING LAKE",
"state": "NC",
"postal_code": "283909802",
"telephone_number": "623-466-4283"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "821 S HORNER BLVD",
"city": "SANFORD",
"state": "NC",
"postal_code": "273305359",
"telephone_number": "919-292-1610"
}
],
"practiceLocations": [],
"basic": {
"last_name": "THOMAS",
"first_name": "JEREMIAH",
"name_prefix": "Dr.",
"credential": "DPM",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2022-06-26",
"last_updated": "2023-12-26",
"certification_date": "2023-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "213ES0103X",
"taxonomy_group": "",
"desc": "Podiatrist, Foot & Ankle Surgery",
"state": "NC",
"license": "841",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sanford, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 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.