Individual provider Active NPI

Jeffrey Glen Hedges, D.C.

  • Chiropractor
  • Durham, NC
National Provider Identifier
1831448257
Registry record updated Aug 30, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
4308 Issued in NC
Practice address
3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844
Phone
(919) 401-1999
Fax
(919) 401-1998
NPI assigned
Aug 30, 2012
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 30, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 4308 NC Primary

Addresses

Primary practice location

3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844

Mailing address

3519 Witherspoon Blvd
Suite 104
Durham, NC 27707-6844
Phone (919) 401-1999

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4308NCMDPsychologist

Practice roles

OrganizationSpecialtyStatusNew patients
Hedges Family Chiropractic PA Chiropractor Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1346284800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346284800000",
    "number": "1831448257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3519 WITHERSPOON BLVD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076844",
            "telephone_number": "919-401-1999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3519 WITHERSPOON BLVD",
            "address_2": "SUITE 104",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277076844",
            "telephone_number": "919-401-1999",
            "fax_number": "919-401-1998"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HEDGES",
        "first_name": "JEFFREY",
        "middle_name": "GLEN",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-08-30",
        "last_updated": "2012-08-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "4308",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 30, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.