Individual provider Active NPI

James Randy Hedgepeth, MD

  • Pediatrics Physician
  • Garner, NC
National Provider Identifier
1760417752
Registry record updated Jan 23, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
29700 Issued in NC
Practice address
1405 Timber Dr E
Garner, NC 27529-6926
Phone
(919) 779-6423
Fax
(919) 662-2021
NPI assigned
Jul 11, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 29700 NC Primary

Addresses

Primary practice location

1405 Timber Dr E
Garner, NC 27529-6926

Mailing address

1921 Falls Valley Drive
Raleigh, NC 27615
Phone (919) 872-0250

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
I20131120000650 NC Practitioner - Pediatric Medicine 0446484281 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Pediatric Associates, PA Pediatrics CurrentSince Sep 11, 2013 Accepting new patients

Locations

1405 Timber Dr E
Garner, NC 27529
Phone (919) 779-6423

1921 Falls Valley Dr
Raleigh, NC 27615
Phone (919) 872-0250

Interoperability endpoints

  • Direct secure messaging: jameshedgepeth@rpapa.allscriptsdirect.net

Organizations & group practices 1

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": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1327276800000",
    "number": "1760417752",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1921 FALLS VALLEY DRIVE",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "27615",
            "telephone_number": "919-872-0250",
            "fax_number": "919-848-3137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 TIMBER DR E",
            "city": "GARNER",
            "state": "NC",
            "postal_code": "275296926",
            "telephone_number": "919-779-6423",
            "fax_number": "919-662-2021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGEPETH",
        "first_name": "JAMES",
        "middle_name": "RANDY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2012-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "29700",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Garner, NC

Sources for this page

Verify at the official NPI Registry.