Michele Teresa Jedlica

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

9901213 Issued in NC

Practice address

404 Westwood Ave
Ste 103
High Point, NC 27262-4315

Phone

(336) 889-6564

Fax

(336) 889-5252

NPI assigned

Dec 21, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• High Point Pediatrics

  • Pediatrics Physician
  • High Point, NC
  • NPI 1922198977
  NPD (past)

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

{
    "created_epoch": "1166659200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1629132576",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE",
            "address_2": "STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624315",
            "telephone_number": "336-889-6564",
            "fax_number": "336-889-5252"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "404 WESTWOOD AVE",
            "address_2": "STE 103",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272624315",
            "telephone_number": "336-889-6564",
            "fax_number": "336-889-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JEDLICA",
        "first_name": "MICHELE",
        "middle_name": "TERESA",
        "name_prefix": "Dr.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "9901213",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126WY",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kennadee Janay Jarnagin
• Cassandra Nicole Jarrett, BSW, MSW, LCSW-A
• Thomas E Jarrett, M.D.
• Jason E. Russell, DDS PA
• Emmanuel Jean-Jacques, PA-C
• Jeffrey a. Goldberg DMD PLLC
• Mary Jeffreys
• Jerry Delane Jenkins Sr.
• Keith Jenkins, PTA
• Jennifer a. Loveland DMD II PLLC

• Pediatrics Physician in High Point, NC
• Providers in High Point, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.