Individual provider Active NPI

James Dasher, MD

  • Surgery Physician
  • Kernersville, NC
National Provider Identifier
1780615799
Registry record updated Feb 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
98-00508 Issued in NC
Practice address
1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198
Phone
(336) 564-4950
Fax
(336) 564-4959
NPI assigned
Jul 6, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2024

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 98-00508 NC Primary

Addresses

Primary practice location

1730 Kernersville Medical Pkwy Ste 101
Kernersville, NC 27284-7198

Mailing address

PO Box 60447
Charlotte, NC 28260-0447
Phone (336) 564-4035

Other practice location 1

1710 Kernersville Medical Pkwy
Suite 220
Kernersville, NC 27284-7155
Phone (336) 564-4035

Other identifiers 2

IdentifierTypeStateIssuer
020038626OtherNCRR MEDICARE
8911365MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jdasher140656@direct.novanthealth.org

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
I20050114000296 NC Practitioner - General Surgery 0547219768 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Perelman School of Med at the University of Pennsylvania, 1993
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Novant Health Medical Group, LLCGroup PAC ID 1153234893, 2,413 clinicians

Practice addresses (Care Compare)

1710 Kernersville Medical Pkwy
Suite 202
Kernersville, NC 27284-7156
Phone (336) 794-8624

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-00508NCMDSurgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health Medical Group, LLC CurrentSince Sep 21, 2014 Accepting new patients
Novant Health Medical Group, LLC Current Accepting new patients
Wake Forest Health Network, LLC CurrentSince Jul 1, 1998 Accepting new patients
Wake Forest Health Network LLC Current Accepting new patients
Cornerstone Health Care, LLC CurrentSince Jul 1, 1998 Accepting new patients
Novant Medical Group, Inc CurrentSince Sep 21, 2014 Accepting new patients
Novant Health Medical Group, LLC Past Accepting new patients

Locations

330 Billingsley Rd
Ste 202
Charlotte, NC 28211
Phone (704) 316-2350

3515 W Market St
Ste 310
Greensboro, NC 27403
Phone (336) 718-1970

1814 Westchester Dr
Ste 101
High Point, NC 27262
Phone (336) 802-2105

905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040

1710 Kernersville Medical Pkwy
Ste 220
Kernersville, NC 27284
Phone (336) 564-4035

1710 Kernersville Medical Pkwy
Ste 202
Kernersville, NC 27284
Phone (336) 564-4873

1730 Kernersville Medical Pkwy
Ste 101
Kernersville, NC 27284
Phone (336) 564-4950

648 Almondridge Dr
Rural Hall, NC 27045
Phone (336) 969-0510

5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441

760 Highland Oaks Dr
Ste 200
Winston Salem, NC 27103
Phone (336) 277-4380

2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300

Organizations & group practices 7

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.

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": "1152144000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707868800000",
    "number": "1780615799",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447",
            "telephone_number": "336-564-4035",
            "fax_number": "336-564-4047"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1730 KERNERSVILLE MEDICAL PKWY STE 101",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847198",
            "telephone_number": "336-564-4950",
            "fax_number": "336-564-4959"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1710 Kernersville Medical Pkwy",
            "address_2": "Suite 220",
            "address_purpose": "LOCATION",
            "city": "Kernersville",
            "state": "NC",
            "postal_code": "272847155",
            "country_code": "US",
            "telephone_number": "336-564-4035",
            "fax_number": "336-564-4047",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DASHER",
        "first_name": "JAMES",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-06",
        "last_updated": "2024-02-14",
        "certification_date": "2024-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "98-00508",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "020038626",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8911365",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jdasher140656@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "1730 Kernersville Medical Pkwy Ste 101",
            "city": "Kernersville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "272847198",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.