Individual provider Active NPI

Jason Joungwoo Nam, M.D.

  • Pulmonary Disease Physician
  • Fort Bragg, NC
National Provider Identifier
1689013054
Registry record updated Apr 19, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pulmonary Disease PhysicianTaxonomy code 207RP1001X
License
2017-01885 Issued in NC
Practice address
2817 Rock Merrit Ave
Fort Bragg, NC 28310-1231
Phone
(910) 907-7369
NPI assigned
Jun 19, 2013
Last updated
Apr 19, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 19, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Care Medicine (Internal Medicine) Physician 207RC0200X 2017-01885 NC
Pulmonary Disease Physician 207RP1001X 2017-01885 NC Primary
General Practice Physician 208D00000X 0101256785 VA

Addresses

Primary practice location

2817 Rock Merrit Ave
Fort Bragg, NC 28310-1231

Mailing address

2817 Rock Merritt Ave
Fort Bragg, NC 28310-0010

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
I20180226002696 NC Practitioner - Internal MedicinePractitioner - Pulmonary DiseasePractitioner - HospitalistPractitioner - Critical Care (Intensivists) 6901024785 Reassigns benefits to 8 organizations

Care Compare profile

Medicare Care Compare
Specialty
HospitalistAlso: Critical Care (Intensivists), Pulmonary Disease
Education
Georgetown University School of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Carolinas Medical CenterGroup PAC ID 4789597477, 1,057 clinicians

Practice addresses (Care Compare)

1085 NE Gateway CT NE
Suite 290
Concord, NC 28025-2412
Phone (704) 403-4650

1090 NE Gateway CT NE
Concord, NC 28025-2927
Phone (704) 403-1311

1350 S Kings Dr
Charlotte, NC 28207-2134
Phone (704) 355-7328

200 Medical Park Dr
Concord, NC 28025-0933

920 Church N St
Concord, NC 28025-2927
Phone (704) 403-3000

920 Church St N
Concord, NC 28025-2927
Phone (704) 403-3000

Hospital & facility affiliations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Wake Forest University Health Sciences CurrentSince Jan 25, 2026 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Current Accepting new patients
Wakemed Specialists Group LLC CurrentSince Aug 22, 2019 Accepting new patients
Wakemed Specialists Group, LLC CurrentSince Aug 22, 2019 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Critical Care Medicine CurrentSince Jan 1, 2024 Accepting new patients
Carolinas Medical Center Current Accepting new patients
FHPG, LLC Current Accepting new patients
FHPG, LLC CurrentSince Jan 22, 2018 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 17, 2024 Accepting new patients
Moses Cone Medical Services, Inc. Pulmonary Disease CurrentSince Sep 23, 2021 Accepting new patients
Wakemed Specialists Group, LLC Current Accepting new patients
Moses Cone Medical Services, Inc. CurrentSince Sep 23, 2021 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority Current Accepting new patients
Carolinas Medical Center Critical Care Medicine CurrentSince Jan 1, 2024 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jun 17, 2024 Accepting new patients
FHPG, LLC CurrentSince Jan 22, 2018 Accepting new patients
Scotland Regional Health Network CurrentSince Sep 9, 2024 Accepting new patients
The Charlotte-Mecklenburg Hospital Authority CurrentSince Jan 1, 2024 Accepting new patients
Scotland Regional Health Network CurrentSince Sep 9, 2024 Accepting new patients
Carolinas Medical Center CurrentSince Jan 1, 2024 Accepting new patients

Locations

329 NC Highway 801 N
Bermuda Run, NC 27006
Phone (336) 716-8200

1900 Kildaire Farm Rd
Cary, NC 27518
Phone (919) 350-2300

1000 Blythe Blvd
Charlotte, NC 28203
Phone (704) 351-3791

1350 S Kings Dr
Charlotte, NC 28207
Phone (704) 446-1255

200 Medical Park Dr
Ste 250
Concord, NC 28025
Phone (704) 403-2740

1126 N Church St
Ste 300
Greensboro, NC 27401
Phone (336) 547-1700

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

3518 Drawbridge Pkwy
Ste 220
Greensboro, NC 27410
Phone (336) 275-0927

509 N Elam Ave
Fl 3
Greensboro, NC 27403
Phone (336) 832-1970

420 N Center St
Hickory, NC 28601
Phone (704) 660-4055

500 Lauchwood Dr
Laurinburg, NC 28352
Phone (856) 848-3227

1370 W D St
North Wilkesboro, NC 28659
Phone (336) 651-8100

155 Memorial Dr
Pinehurst, NC 28374
Phone (910) 215-1000

6408 Fayetteville Rd
Raeford, NC 28376
Phone (910) 878-6000

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

2920 Highwoods Blvd
Raleigh, NC 27604

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

925 S Long Dr
Rockingham, NC 28379
Phone (910) 417-3000

520 Allen St
Troy, NC 27371
Phone (910) 571-5000

940 Golf House Ct E
Whitsett, NC 27377
Phone (336) 449-9848

Interoperability endpoints

  • Direct secure messaging: jnam240954@directhisp.wakemed.org

Organizations & group practices 21

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 21

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": "1371600000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776556800000",
    "number": "1689013054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRITT AVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283100010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2817 ROCK MERRIT AVE",
            "city": "FORT BRAGG",
            "state": "NC",
            "postal_code": "283101231",
            "telephone_number": "910-907-7369"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NAM",
        "first_name": "JASON",
        "middle_name": "JOUNGWOO",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-06-19",
        "last_updated": "2026-04-19",
        "certification_date": "2026-04-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RC0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Critical Care Medicine",
            "state": "NC",
            "license": "2017-01885",
            "primary": false
        },
        {
            "code": "207RP1001X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Pulmonary Disease",
            "state": "NC",
            "license": "2017-01885",
            "primary": true
        },
        {
            "code": "208D00000X",
            "taxonomy_group": "",
            "desc": "General Practice",
            "state": "VA",
            "license": "0101256785",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Bragg, NC

Sources for this page

Verify at the official NPI Registry.