Jennica K NG, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2009-00898 Issued in NC

Practice address

3333 NC Highway 242 N
Benson, NC 27504-7844

Phone

(919) 894-2011

Fax

(919) 894-7645

NPI assigned

May 24, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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 Medicine

Practice roles

Locations

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.

• Duke University Affiliated Physicians, Inc.

  • Internal Medicine Physician
  • Durham, NC
  • NPI 1316975972

  Family Medicine, NC

  Medicare reassignment NPD
• Duke University Affiliated Physicians

  • Family Medicine Physician
  • Chapel Hill, NC
  • NPI 1669809463

  Family Medicine

  NPD
• Duke University Affiliated Physicians, Inc.

  • Emergency Medicine Physician
  • Raleigh, NC
  • NPI 1710120795

  Family Medicine

  NPD

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

{
    "created_epoch": "1179964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1325116800000",
    "number": "1780895623",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 399",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275040399",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3333 NC HIGHWAY 242 N",
            "city": "BENSON",
            "state": "NC",
            "postal_code": "275047844",
            "telephone_number": "919-894-2011",
            "fax_number": "919-894-7645"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NG",
        "first_name": "JENNICA",
        "middle_name": "K",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-24",
        "last_updated": "2011-12-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2009-00898",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alison Alane Moeller
• Moore Counseling & Wellness, PLLC
• Vicky Mooring, M.D.
• Morgan Barnes Moore, D.M.D., P.L.L.C.
• Benita Mukenge, PHARMD
• Nine-to-Five Medical Supply LLC
• North Carolina CVS Pharmacy LLC
• Ohio Valley Physicians Inc
• Optimum Home Care, LLC
• Pac Sun Properties, LLC

• All providers in Benson, NC
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2011; 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.