Jeremy Seth Pepper, PA-C

Primary specialty

Medical Physician AssistantTaxonomy code 363AM0700X

License

103010 Issued in NC

Practice address

1606 Wellington Ave
Suite a
Wilmington, NC 28401-7747

Phone

(910) 859-8586

Fax

(910) 859-8588

NPI assigned

Mar 5, 2007

Last updated

Jul 20, 2022By the provider in NPPES

Sex

Male

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: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2000

Medicare assignment

May accept Medicare assignment

Telehealth

Offers telehealth services

Group practices

Access Internal Medicine PCGroup PAC ID 5496917601, 2 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Novant Health New Hanover Regional Medical Center Hospital, Wilmington, NC, CCN 340141

Merit-based Incentive Payment System (MIPS)

Final score

90.62 of 100Reported as individual

Quality

84.22

Promoting interoperability

100

Improvement activities

40

Cost

84.52

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/3779/brand/1/csg/1/fhir/r4
• Direct secure messaging: jeremy.pepper.1@3779.direct.athenahealth.com

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.

• Access Internal Medicine, PC

  • Medical Physician Assistant
  • Wilmington, NC
  • NPI 1396015939
  Medicare reassignment Care Compare group Authorized official

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Novant Health New Hanover Regional Medical Center LLC

  dba Novant Health New Hanover Regional Medical Center

  • General Acute Care Hospital
  • Wilmington, NC
  • NPI 1376139139
  Care Compare affiliation

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

{
    "created_epoch": "1173052800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658275200000",
    "number": "1841329885",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE STE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017704",
            "telephone_number": "910-859-8586",
            "fax_number": "910-859-8588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1606 WELLINGTON AVE",
            "address_2": "SUITE A",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017747",
            "telephone_number": "910-859-8586",
            "fax_number": "910-859-8588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PEPPER",
        "first_name": "JEREMY",
        "middle_name": "SETH",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-05",
        "last_updated": "2022-07-20",
        "certification_date": "2022-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "103010",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Penrose Creative Healing PLLC
• Pamela Penrose, LCMHC
• Lindsey Pentkowski
• People of Purpose (Liberty Counseling and Recovery Services, LLC)
• Denise Lynn Peppard, N.P.
• Karim Peppers, D.D.S.
• Natalie Peregory
• Mackenzie Pereira, LCMHCA, NCC
• Jaya Rose Perentis
• Deborah Perez-Lopez, MS

• Medical Physician Assistant in Wilmington, NC
• Providers in Wilmington, NC by specialty
• Medical Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2022; 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.

Verify at the official NPI Registry.