Individual provider Active NPI

Jamie Perry Ingram, LCSW, LCAS-A

  • Clinical Social Worker
  • Chapel Hill, NC
National Provider Identifier
1710145024
Registry record updated Feb 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
License
C006658 Issued in NC
Practice address
1101 Weaver Dairy Rd Ste 103
Chapel Hill, NC 27514-1791
Phone
(984) 974-6320
Fax
(984) 974-6447
NPI assigned
May 23, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social Worker 1041C0700X C006658 NC Primary

Addresses

Primary practice location

1101 Weaver Dairy Rd Ste 103
Chapel Hill, NC 27514-1791

Mailing address

603 Eastway Ave
Durham, NC 27703-2003
Phone (919) 491-2940

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211112001836 NC Practitioner - Clinical Social Worker 0749679751 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
University of North Carolina Hospitals at Chapel Hill Current Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 30, 2022 Accepting new patients
University of North Carolina Hospitals at Chapel Hill CurrentSince Sep 30, 2022 Accepting new patients

Locations

100 Sprunt St
Chapel Hill, NC 27517
Phone (919) 843-2164

1101 Weaver Dairy Rd
Ste 103
Chapel Hill, NC 27514
Phone (919) 966-6097

101 Manning Dr
Chapel Hill, NC 27514
Phone (984) 974-1485

5221 Paramount Pkwy
Ste 440
Morrisville, NC 27560
Phone (984) 974-1183

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.

NPI Registry JSON

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

{
    "created_epoch": "1211500800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1549929600000",
    "number": "1710145024",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "603 EASTWAY AVE",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277032003",
            "telephone_number": "919-491-2940"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 WEAVER DAIRY RD STE 103",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275141791",
            "telephone_number": "984-974-6320",
            "fax_number": "984-974-6447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "INGRAM",
        "first_name": "JAMIE",
        "middle_name": "PERRY",
        "name_prefix": "Mrs.",
        "credential": "LCSW, LCAS-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-05-23",
        "last_updated": "2019-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "",
            "desc": "Social Worker, Clinical",
            "state": "NC",
            "license": "C006658",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Chapel Hill, NC

Sources for this page

Verify at the official NPI Registry.