Individual provider Active NPI

Thomas A Pezzi, M.D.

  • Surgery Physician
  • Lenoir, NC
National Provider Identifier
1730269002
Registry record updated Mar 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
20000935 Issued in NC
Practice address
401 Mulberry St SW
Suite 202
Lenoir, NC 28645-5463
Phone
(828) 757-6146
Fax
(828) 757-5944
NPI assigned
Oct 17, 2006
Last updated
Mar 19, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 20000935 NC Primary

Addresses

Primary practice location

401 Mulberry St SW
Suite 202
Lenoir, NC 28645-5463

Mailing address

321 Mulberry St SW
Medical Staff Services
Lenoir, NC 28645-5720
Phone (828) 757-5965

Other identifiers 1

IdentifierTypeStateIssuer
89126VJMedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address tpezzi107931@direct.UNC.nchie.net Direct

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
I20081204000693 NC Practitioner - General Surgery 9537220819 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Temple University School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Caldwell Memorial Hospital IncGroup PAC ID 5395646970, shared by 13 NPIs, 212 clinicians

Practice addresses (Care Compare)

1031 Morganton Blvd SW
Suite B
Lenoir, NC 28645-5669
Phone (828) 757-6200

212 Mulberry St SW
Lenoir, NC 28645-5414
Phone (828) 759-4900

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5218

401 Mulberry St SW
Lenoir, NC 28645-5463

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy1-10
Pacemaker insertion or repair1-10
Upper gastrointestinal (GI) endoscopy for acid reflux1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
20000935NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc. CurrentSince Jul 22, 2013 Accepting new patients
Caldwell Memorial Hospital, Inc. Surgery CurrentSince Jul 22, 2013 Accepting new patients
Caldwell Memorial Hospital, Inc Current Accepting new patients
Caldwell Memorial Hospital, Inc. CurrentSince Nov 20, 2019 Accepting new patients
Caldwell Memorial Hospital, Inc Past Accepting new patients

Locations

1031 Morganton Blvd SW
Ste B
Lenoir, NC 28645
Phone (828) 757-6200

212 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

322 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-6400

322 Mulberry St SW
Ste G
Lenoir, NC 28645
Phone (828) 757-6400

401 Mulberry St SW
Ste 202
Lenoir, NC 28645
Phone (828) 757-6146

Interoperability endpoints

  • Direct secure messaging: tpezzi107931@direct.unc.nchie.net

Organizations & group practices 5

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.

Hospital & facility affiliations 1

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": "1161043200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1616112000000",
    "number": "1730269002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "address_2": "MEDICAL STAFF SERVICES",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5965",
            "fax_number": "828-757-5104"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 MULBERRY ST SW",
            "address_2": "SUITE 202",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455463",
            "telephone_number": "828-757-6146",
            "fax_number": "828-757-5944"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEZZI",
        "first_name": "THOMAS",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-17",
        "last_updated": "2021-03-19",
        "certification_date": "2021-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "20000935",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "89126VJ",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "tpezzi107931@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "401 Mulberry St SW",
            "address_2": "Suite 202",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455463",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.