NPIMap

Individual provider Active NPI

Vindya Jeyaretnam, DO

  • Family Medicine Physician
  • Sanford, NC
National Provider Identifier
1821445123
Registry record updated May 24, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2019-01602 Issued in NC
Practice address
2919 Beechtree Dr Ste 1120
Sanford, NC 27330
Phone
(919) 897-2256
NPI assigned
May 17, 2016
Last updated
May 24, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 24, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 2019-01602 NC Primary

Addresses

Primary practice location

2919 Beechtree Dr Ste 1120
Sanford, NC 27330

Mailing address

2919 Beechtree Dr Ste 1120
Sanford, NC 27330-6934

Other practice location 1

106 Park Ave
Sanford, NC 27330-4027
Phone (919) 775-2001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190812002283 NC Practitioner - Family Practice 5890080329 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
West Virginia School of Osteopathic Medicine, 2015
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Firsthealth of the Carolinas IncGroup PAC ID 8820909377, 138 clinicians
FHPG LLCGroup PAC ID 9537481569, 195 clinicians

Practice addresses (Care Compare)

220 Page Rd N
Suite 700
Pinehurst, NC 28374-8748
Phone (910) 715-8950

7473-B Hwy 22
Whispering Pines, NC 28327
Phone (910) 215-5115

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
85.84 of 100Reported as group
Quality
79.14
Promoting interoperability
92
Improvement activities
40
Cost
80.32

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Firsthealth of the Carolinas, Inc Dba Firsthealth Weight Management Clinic CurrentSince May 20, 2026 Accepting new patients
FHPG, LLC Family Medicine Current Accepting new patients
FHPG, LLC Family Medicine CurrentSince Jul 22, 2019 Accepting new patients
FHPG, LLC Family Medicine CurrentSince Jul 22, 2019 Accepting new patients
FHPG, LLC Family Medicine PastSince Aug 1, 2024 Accepting new patients

Locations

225 Capital Dr
Ste 103
Carthage, NC 28327
Phone (910) 215-5110

46 Memorial Dr
Pinehurst, NC 28374
Phone (910) 295-6782

103 Marketplace Dr
Ste 102
Sanford, NC 27332
Phone (919) 897-2250

3110 S Horner Blvd
Sanford, NC 27332
Phone (910) 295-4400

Interoperability endpoints

  • Direct secure messaging: vjeyaretnam94074@firsthealth.direct-ci.net

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 4

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": "1463443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621814400000",
    "number": "1821445123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2919 BEECHTREE DR STE 1120",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "273306934"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2919 BEECHTREE DR STE 1120",
            "city": "SANFORD",
            "state": "NC",
            "postal_code": "27330",
            "telephone_number": "919-897-2256"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "106 Park Ave",
            "address_purpose": "LOCATION",
            "city": "Sanford",
            "state": "NC",
            "postal_code": "273304027",
            "country_code": "US",
            "telephone_number": "919-775-2001",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JEYARETNAM",
        "first_name": "VINDYA",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-05-17",
        "last_updated": "2021-05-24",
        "certification_date": "2021-05-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2019-01602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sanford, NC

Sources for this page

Verify at the official NPI Registry.