Individual provider Active NPI

Joseph Franklin Maides Jr., D.O.

  • Family Medicine Physician
  • Morehead City, NC
National Provider Identifier
1639304355
Registry record updated Feb 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2016-00743 Issued in NC
Practice address
623 N 35TH St
Morehead City, NC 28557-3126
Phone
(252) 222-5700
Fax
(252) 649-1945
NPI assigned
May 26, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 21, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Physician 208D00000X 036123466 IL
General Practice Physician 208D00000X 2016-00743 NC
Family Medicine Physician 207Q00000X 2016-00743 NC Primary

Addresses

Primary practice location

623 N 35TH St
Morehead City, NC 28557-3126

Mailing address

623 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190410003097 NC Practitioner - Family PracticePractitioner - Peripheral Vascular Disease 3173675014 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family PracticeAlso: Peripheral Vascular Disease
Education
Midwestern University, Chicago College of Osteopathic Med, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Diabetes and EndocrinologyGroup PAC ID 1355334467, 5 clinicians

Practice addresses (Care Compare)

623 N 35TH St
Morehead City, NC 28557-3126
Phone (252) 222-5700

Hospital & facility affiliations

  • Carteret General Hospital Hospital, Morehead City, NC, CCN 340142
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
2016-00743NCMDGeneral Practice Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Vohra Wound Physicians of Ny, PLLC Family Medicine CurrentSince Feb 25, 2019 Accepting new patients
Diabetes & Endocrinology CurrentSince Dec 5, 2023 Accepting new patients
Lake Mi Mobile Doctors P.C. Past Accepting new patients
East Valley Diabetes & Endocrinology PLC PastSince Dec 5, 2023 Accepting new patients

Locations

717 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 444-6894

623 N 35th St
Morehead City, NC 28557
Phone (252) 222-5700

1304 Commerce Dr
New Bern, NC 28562
Phone (252) 637-4673

Interoperability endpoints

  • Direct secure messaging: joseph.maides.1@20887.direct.athenahealth.com

Organizations & group practices 4

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.

Hospital & facility affiliations 2

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": "1243296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708473600000",
    "number": "1639304355",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-222-5705"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 N 35TH ST",
            "city": "MOREHEAD CITY",
            "state": "NC",
            "postal_code": "285573126",
            "telephone_number": "252-222-5700",
            "fax_number": "252-649-1945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MAIDES",
        "first_name": "JOSEPH",
        "middle_name": "FRANKLIN",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-05-26",
        "last_updated": "2024-02-21",
        "certification_date": "2024-02-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "IL",
            "license": "036123466",
            "primary": false
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "NC",
            "license": "2016-00743",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2016-00743",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Morehead City, NC

Sources for this page

Verify at the official NPI Registry.