Active NPI
Jeremy Joy, MD
- Student in an Organized Health Care Education/Training Program
- Clinton, NC
National Provider Identifier
1861245953
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Student in an Organized Health Care Education/Training Program
- License
- RTL24-0842
- Practice address
- 607 Beaman St
Clinton, NC 28328-2603 - Phone
- (596) 910-5421
- NPI assigned
- Apr 9, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | NC | ||
| Student in an Organized Health Care Education/Training Program | 390200000X | RTL24-0842 | NC | Primary |
Addresses
Primary practice location
607 Beaman St
Clinton, NC 28328-2603
Mailing address
607 Beaman St
Clinton, NC 28328-2603
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jeremy-joy@sampsonrps.e-misdirect.com | Direct | Sampson Regional Professional Services LLC. |
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)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RTL24-0842 | NC | MD | Student in an Organized Health Care Education/Training Program |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1712620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1719532800000",
"number": "1861245953",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "607 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282603"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "607 BEAMAN ST",
"city": "CLINTON",
"state": "NC",
"postal_code": "283282603",
"telephone_number": "596-910-5421"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JOY",
"first_name": "JEREMY",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2024-04-09",
"last_updated": "2024-06-28",
"certification_date": "2024-06-28",
"status": "A"
},
"taxonomies": [
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": null,
"primary": false
},
{
"code": "390200000X",
"taxonomy_group": "",
"desc": "Student in an Organized Health Care Education/Training Program",
"state": "NC",
"license": "RTL24-0842",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jeremy-joy@sampsonrps.e-misdirect.com",
"affiliation": "Y",
"endpointDescription": "Direct",
"affiliationName": "Sampson Regional Professional Services LLC.",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "607 Beaman St",
"city": "Clinton",
"state": "NC",
"country_code": "US",
"postal_code": "283282603",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clinton, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.