Active NPI
Jonathan Hargett Kornegay, MD
- Internal Medicine Physician
- Kenansville, NC
National Provider Identifier
1730347485
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 2010-01239
- Practice address
- 401 N Main St
Vidant Duplin Hospital
Kenansville, NC 28349-8801 - Phone
- (910) 296-2790
- NPI assigned
- May 29, 2008
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 2010-01239 | NC | Primary |
Addresses
Primary practice location
401 N Main St
Vidant Duplin Hospital
Kenansville, NC 28349-8801
Mailing address
401 N Main St
Vidant Duplin Hospital
Kenansville, NC 28349-8801
Phone (910) 296-2790
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5919454 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jkornegay21081@direct.vidanthealth.com |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- Brody School of Medicine at East Carolina University, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1757
Hospital & facility affiliations
- Ecu Health Home Health and Hospice
- Vidant Duplin Hospital
- Ecu Health Medical Center
Merit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Outer Banks Professional Services, LLC | Internal Medicine | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients |
Locations
2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
4800 S Croatan Hwy
Nags Head, NC 27959
Phone (252) 449-4500
5565 N Croatan Hwy
Southrn Shore, NC 27949
Phone (252) 261-5800
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Multi-Specialty Clinic/Center
- Nags Head, NC
- NPI 1891050357
Internal Medicine
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Kenansville, NC
- NPI 1508832833
-
- Community Based Hospice Care Agency
- Kenansville, NC
- NPI 1952771958
-
- General Acute Care Hospital
- Washington, NC
- NPI 1780359687
-
- General Acute Care Hospital
- Greenville, NC
- NPI 1043218944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1212019200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1642464000000",
"number": "1730347485",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"address_2": "VIDANT DUPLIN HOSPITAL",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283498801",
"telephone_number": "910-296-2790"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "401 N MAIN ST",
"address_2": "VIDANT DUPLIN HOSPITAL",
"city": "KENANSVILLE",
"state": "NC",
"postal_code": "283498801",
"telephone_number": "910-296-2790"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KORNEGAY",
"first_name": "JONATHAN",
"middle_name": "HARGETT",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-29",
"last_updated": "2022-01-18",
"certification_date": "2022-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NC",
"license": "2010-01239",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5919454",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jkornegay21081@direct.vidanthealth.com",
"affiliation": "N",
"address_1": "2100 Stantonsburg Rd",
"city": "Greenville",
"state": "NC",
"country_code": "US",
"postal_code": "278342818",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Kenansville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 18, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.