Active NPI
Jamie Smith Deem, NP-C
- Primary Care Nurse Practitioner
- Elon, NC
National Provider Identifier
1619614757
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Primary Care Nurse Practitioner
- License
- AG06210242
- Practice address
- 2879 Pagetown Rd
Elon, NC 27244-8986 - Phone
- (336) 212-0498
- NPI assigned
- May 19, 2022
- Last updated
- May 19, 2022
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Primary Care Nurse Practitioner | 363LP2300X | AG06210242 | NC | Primary |
Addresses
Primary practice location
2879 Pagetown Rd
Elon, NC 27244-8986
Mailing address
2879 Pagetown Rd
Elon, NC 27244-8986
Phone (336) 212-0498
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| AG06210242 | NC | MD | Primary Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1652918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652918400000",
"number": "1619614757",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2879 PAGETOWN RD",
"city": "ELON",
"state": "NC",
"postal_code": "272448986",
"telephone_number": "336-212-0498"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2879 PAGETOWN RD",
"city": "ELON",
"state": "NC",
"postal_code": "272448986",
"telephone_number": "336-212-0498"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEEM",
"first_name": "JAMIE",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "NP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-19",
"last_updated": "2022-05-19",
"certification_date": "2022-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "AG06210242",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Elon, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.