Individual provider Active NPI

Jacqueline Muhammad, MD

  • Maternal & Fetal Medicine Physician
  • Greenville, NC
National Provider Identifier
1669690210
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Maternal & Fetal Medicine PhysicianTaxonomy code 207VM0101X
License
2014-01261 Issued in NC
Practice address
600 Moye Blvd
Greenville, NC 27834-4300
Phone
(252) 744-2350
Fax
(252) 744-5348
NPI assigned
Apr 20, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 53325 WI
Maternal & Fetal Medicine Physician 207VM0101X 2014-01261 NC Primary

Addresses

Primary practice location

600 Moye Blvd
Greenville, NC 27834-4300

Mailing address

PO Box 751069
Charlotte, NC 28275-1069

Other identifiers 1

IdentifierTypeStateIssuer
ABOG-MOCOtherAMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY

Other names 1

  • Jacqueline Grimes Former name

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jmuhammad443717@direct.ecuhealth.com Health Information Exchange (HIE)

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WI, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20090908000417 WI Practitioner - Obstetrics/Gynecology 2668527094 Reassigns benefits to 3 organizations
I20140926002028 NC Practitioner - Obstetrics/GynecologyPractitioner - Other (Physician) 2668527094 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
East Carolina UniversityGroup PAC ID 0244143246, 499 clinicians

Practice addresses (Care Compare)

600 Moye Blvd
Greenville, NC 27834-4300
Phone (252) 744-4611

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2014-01261NCMDMaternal & Fetal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Bellin Memorial Hospital Inc Hospice and Palliative Medicine Current Accepting new patients
Gundersen Lutheran Medical Center Inc CurrentSince Jul 3, 2023 Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Oconto Hospital & Medical Center Inc Current Accepting new patients
Wakemed Specialists Group, LLC Obstetrics & Gynecology Current Accepting new patients
Bellin Memorial Hospital Inc Obstetrics & Gynecology CurrentSince Jun 15, 2023 Accepting new patients
East Carolina University Obstetrics & Gynecology CurrentSince Aug 15, 2023 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Oconto Hospital & Medical Center Inc Hospice and Palliative Medicine CurrentSince Jun 15, 2023 Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 20, 2019 Accepting new patients
Gundersen Lutheran Medical Center, Inc CurrentSince Jul 3, 2023 Accepting new patients
East Carolina University Current Accepting new patients
Gundersen Lutheran Medical Center Inc Current Accepting new patients
Southeastern Regional Physician Services CurrentSince Mar 20, 2019 Accepting new patients
Unc Physicians Network LLC Obstetrics & Gynecology CurrentSince Jun 1, 2022 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
Southeastern Regional Physician Services Hospice and Palliative Medicine Current Accepting new patients
Oconto Hospital & Medical Center Inc Obstetrics & Gynecology CurrentSince Jun 15, 2023 Accepting new patients
East Carolina University Obstetrics & Gynecology Past Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

600 Moye Blvd
Greenville, NC 27834
Phone (252) 744-1111

4901 Dawn Dr
Ste 1200
Lumberton, NC 28360
Phone (910) 671-4214

2002 N Cedar St
#B
Lumberton, NC 28358
Phone (910) 272-3048

395 W 27th St
Lumberton, NC 28358
Phone (910) 738-3434

2000 Perimeter Park Dr
Ste 200
Morrisville, NC 27560
Phone (800) 594-8624

23 Sunnybrook Rd
Raleigh, NC 27610
Phone (919) 322-4800

3000 New Bern Ave
Raleigh, NC 27610
Phone (919) 350-7000

10010 Falls of Neuse Rd
Ste 15
Raleigh, NC 27614
Phone (919) 350-1470

10000 Falls of Neuse Rd
Raleigh, NC 27614
Phone (919) 350-1300

704 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-3784

744 S Webster Ave
Green Bay, WI 54301
Phone (920) 433-6025

1836 South Ave
La Crosse, WI 54601
Phone (608) 788-8102

1910 South Ave
La Crosse, WI 54601
Phone (608) 775-2287

820 Arbutus Ave
Oconto, WI 54153
Phone (920) 835-1100

Interoperability endpoints

  • Direct secure messaging: jmuhammad802716@direct.gundersenhealth.org
  • Direct secure messaging: jmuhammad1020851@direct.gundersenhealth.org

Organizations & group practices 19

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.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1177027200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1669690210",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 751069",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282751069"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MOYE BLVD",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278344300",
            "telephone_number": "252-744-2350",
            "fax_number": "252-744-5348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MUHAMMAD",
        "first_name": "JACQUELINE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-04-20",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "WI",
            "license": "53325",
            "primary": false
        },
        {
            "code": "207VM0101X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology, Maternal & Fetal Medicine",
            "state": "NC",
            "license": "2014-01261",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICAN BOARD OF OBSTETRICS AND GYNECOLOGY",
            "identifier": "ABOG-MOC",
            "state": null
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jmuhammad443717@direct.ecuhealth.com",
            "affiliation": "N",
            "endpointDescription": "ECU Physicians",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "600 Moye Blvd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278344300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "JACQUELINE",
            "last_name": "GRIMES",
            "credential": "M.D.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Greenville, NC

Sources for this page

Verify at the official NPI Registry.