James Patrick Mortimer, D.O.

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

2023-01374 Issued in NC

Practice address

200 Hospital Ave
Jefferson, NC 28640-9244

Phone

(336) 846-0805

Fax

(336) 846-0746

NPI assigned

Aug 31, 2005

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• James Patrick Mortimer Other name

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: james.mortimer.1@14562.direct.athenahealth.com

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.

• Ashe Multispecialty Group, LLC

  • Multi-Specialty Clinic/Center
  • Jefferson, NC
  • NPI 1407146483
  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Family Medicine Physician
  • Norfolk, VA
  • NPI 1942443130

  Multi-Specialty, NC

  Medicare reassignment NPD
• Albemarle Physician Services - Sentara, Inc

  • Urgent Care Clinic/Center
  • Kitty Hawk, NC
  • NPI 1306202627
  NPD
• Ashe Multispecialty Group, LLC

  • Orthopaedic Surgery Physician
  • Jefferson, NC
  • NPI 1174204531
  NPD
• Ashe Multispecialty Group, LLC

  • Family Medicine Physician
  • Jefferson, NC
  • NPI 1255054623

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1125446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1750375184",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-0805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-846-0805",
            "fax_number": "336-846-0746"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1141 N Road St",
            "address_2": "Ste M",
            "address_purpose": "LOCATION",
            "city": "Elizabeth City",
            "state": "NC",
            "postal_code": "279093354",
            "country_code": "US",
            "telephone_number": "252-384-2590",
            "fax_number": "252-384-2589",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MORTIMER",
        "first_name": "JAMES",
        "middle_name": "PATRICK",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-08-31",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "2023-01374",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1255054623",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMES",
            "last_name": "MORTIMER",
            "middle_name": "PATRICK",
            "credential": "DO",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Seth McGrady, DPT
• Sarah Moss McNeil, CRNA
• Edward J Miller, M.D.
• Kathleen Miller, NP-C
• Alisa A Morgan, LMFT
• Mount Jefferson Family Medicine, P.a.
• Mountain Living Adult Care Home
• Mountainlife Home Care, Inc.
• MSP Boone Clinic, PLLC
• Mt Jefferson Child Development Center

• Pediatrics Physician in Jefferson, NC
• Providers in Jefferson, NC by specialty
• Pediatrics Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.