Active NPI
Todd F Early, MD
- Vascular Surgery Physician
- Greensboro, NC
National Provider Identifier
1619972684
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Vascular Surgery Physician
- License
- 33994
- Practice address
- 2704 Henry St
Greensboro, NC 27405-3633 - Phone
- (336) 621-3777
- Fax
- (336) 621-8374
- NPI assigned
- Jun 16, 2005
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | 33994 | NC | |
| Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician | 208G00000X | 33994 | NC | |
| Vascular Surgery Physician | 2086S0129X | 33994 | NC | Primary |
Addresses
Primary practice location
2704 Henry St
Greensboro, NC 27405-3633
Mailing address
1200 N Elm St
Greensboro, NC 27401-1004
Phone (336) 832-7000
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 29822 | Other | NC | BCBS |
| 3700752 | Other | NC | UHC |
| 770001030 | Other | NC | RR MCR |
| 41439 | Other | NC | MEDCOST |
| 8929822 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | tearly9793@direct.conehealth.com | Direct |
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
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20041102000245 | NC | Practitioner - Vascular Surgery | 7911801758 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Moses Cone Physician Services Inc | Current | Accepting new patients | |
| Moses Cone Physician Services, Inc. | Surgery | Current | Accepting new patients |
| Moses Cone Physician Services, Inc. | Current | Accepting new patients |
Locations
2704 Henry St
Greensboro, NC 27405
Phone (336) 621-3777
1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000
301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200
Interoperability endpoints
- tearly9793@direct.conehealth.com
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 and National Provider Directory roles.
-
- Internal Medicine Physician
- Greensboro, NC
- NPI 1093953127
NC, Surgery
-
- Hospitalist Physician
- Greensboro, NC
- NPI 1326363383
-
- Family Medicine Physician
- Summerfield, NC
- NPI 1124574827
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118880000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1626825600000",
"number": "1619972684",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N ELM ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274011004",
"telephone_number": "336-832-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2704 HENRY ST",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274053633",
"telephone_number": "336-621-3777",
"fax_number": "336-621-8374"
}
],
"practiceLocations": [],
"basic": {
"last_name": "EARLY",
"first_name": "TODD",
"middle_name": "F",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-16",
"last_updated": "2021-07-21",
"certification_date": "2021-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "33994",
"primary": false
},
{
"code": "208G00000X",
"taxonomy_group": "",
"desc": "Thoracic Surgery (Cardiothoracic Vascular Surgery)",
"state": "NC",
"license": "33994",
"primary": false
},
{
"code": "2086S0129X",
"taxonomy_group": "",
"desc": "Surgery, Vascular Surgery",
"state": "NC",
"license": "33994",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "29822",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UHC",
"identifier": "3700752",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MCR",
"identifier": "770001030",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDCOST",
"identifier": "41439",
"state": "NC"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8929822",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "tearly9793@direct.conehealth.com",
"affiliation": "N",
"endpointDescription": "Direct Address",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2704 Henry St",
"city": "Greensboro",
"state": "NC",
"country_code": "US",
"postal_code": "274053633",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.