Active NPI
Jeffrey Haskell Fair, MD
- Surgery Physician
- Whiteville, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Surgery Physician
- License
- 29106
- Practice address
- 508 Jefferson St
Whiteville, NC 28472-3634 - Phone
- (910) 640-2480
- Fax
- (910) 640-2487
- NPI assigned
- Jul 24, 2006
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Surgery Physician | 208600000X | ME111974 | FL | |
| Surgical Critical Care Physician | 2086S0102X | R4219 | TX | |
| Surgery Physician | 208600000X | 29106 | NC | Primary |
Addresses
Primary practice location
508 Jefferson St
Whiteville, NC 28472-3634
Mailing address
1213 Olmstead LN
Wilmington, NC 28405-4199
Phone (352) 586-1059
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 004578500 | Medicaid | FL | |
| 8931062 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, TX
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- General Surgery
- Education
- Brody School of Medicine at East Carolina University, 1987
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
508 Jefferson St
Whiteville, NC 28472-3634
Phone (910) 640-2480
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 84.11 of 100
- Quality
- 69.15
- Promoting interoperability
- 100
- Improvement activities
- 40
- Cost
- 73.63
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 1-10 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
| Removal of tissue | 16 |
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME111974 | FL | MD | Surgery Physician |
| 29106 | NC | MD | Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ut Physicians | Surgery | Current | Accepting new patients |
| Utmb Faculty Group Practice | Surgery | Current | Accepting new patients |
| East Carolina Surgical, P.a. | Surgery | Current | Accepting new patients |
| Ut Physicians | Current | Accepting new patients |
Locations
508 Jefferson St
Whiteville, NC 28472
Phone (910) 640-2480
301 University Blvd
Galveston, TX 77555
Phone (409) 747-1883
6411 Fannin St
#J1400
Houston, TX 77030
Phone (713) 704-5200
6411 Fannin St
Houston, TX 77030
Phone (713) 500-6200
6410 Fannin St
Ste 500
Houston, TX 77030
Phone (713) 500-5714
1048 Terrace Dr
Marion, VA 24354
Phone (276) 228-2212
Interoperability endpoints
- jfairmd32022@direct.utmb.edu
Organizations & group practices 4
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.
-
- Surgery Physician
- Whiteville, NC
- NPI 1790225936
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba South Columbus Medical Clinic
- General Acute Care Hospital
- Whiteville, NC
- NPI 1376537555
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153699200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1780606004",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1213 OLMSTEAD LN",
"city": "WILMINGTON",
"state": "NC",
"postal_code": "284054199",
"telephone_number": "352-586-1059"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "508 JEFFERSON ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284723634",
"telephone_number": "910-640-2480",
"fax_number": "910-640-2487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAIR",
"first_name": "JEFFREY",
"middle_name": "HASKELL",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-24",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "FL",
"license": "ME111974",
"primary": false
},
{
"code": "2086S0102X",
"taxonomy_group": "",
"desc": "Surgery, Surgical Critical Care",
"state": "TX",
"license": "R4219",
"primary": false
},
{
"code": "208600000X",
"taxonomy_group": "",
"desc": "Surgery",
"state": "NC",
"license": "29106",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "004578500",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8931062",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Whiteville, NC
- Evergreen Actt, Inc.
- Evergreen Behavioral
- Evergreen Behavioral Management Inc
- Evergreen Behavioral Management, Inc.
- Evergreen Behavioral Management, Inc.
- Faith & Hope Counseling Services PC
- Falling Starr Home Care LLC
- Family Alternatives
- Family Alternatives, Inc. (The Counseling Center)
- Fallon M Farber, P-LCSW
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.