Individual provider Active NPI

Jeremiah Thomas, DPM

  • Foot & Ankle Surgery Podiatrist
  • Sanford, NC
National Provider Identifier
1619609021
Registry record updated Dec 26, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Foot & Ankle Surgery PodiatristTaxonomy code 213ES0103X
License
841 Issued in NC
Practice address
821 S Horner Blvd
Sanford, NC 27330-5359
Phone
(919) 292-1610
NPI assigned
Jun 26, 2022
Last updated
Dec 26, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 26, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240219003859 NC Practitioner - Podiatry 6608210596 Reassigns benefits to 1 organization

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

ProcedureNumber of procedures
Removal of tissue163
Removal of skin lesions1-10
Removal of nail tissue227
Removal or shaving of skin growth52

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
841NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
Foot & Ankle Associates of North Carolina, PLLC Foot & Ankle Surgery CurrentSince Jul 7, 2025 Accepting new patients
Foot & Ankle Associates of North Carolina, PLLC Foot & Ankle Surgery CurrentSince Jul 7, 2025 Accepting new patients
Premier Foot & Ankle PLLC Foot & Ankle Surgery PastSince Dec 8, 2024 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

  • FHIR API: https://fhir.meditouchehr.com/api/fhir/r4/
  • Direct secure messaging: 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.

Hospital & facility affiliations 3

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": "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

Verify at the official NPI Registry.