Individual provider Active NPI

John Dellabadia Jr., M.D.

  • Neurology Physician
  • Durham, NC
National Provider Identifier
1861418733
Registry record updated Dec 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurology PhysicianTaxonomy code 2084N0400X
License
2008-00343 Issued in NC
Practice address
4111 Capitol St Ste a
Durham, NC 27704
Phone
(919) 477-1588
NPI assigned
Jul 14, 2006
Last updated
Dec 20, 2018By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 20, 2018

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neurology Physician 2084N0400X 11920R LA
Neurology Physician 2084N0400X 2008-00343 NC Primary
Sleep Medicine (Psychiatry & Neurology) Physician 2084S0012X 2008-00343 NC

Addresses

Primary practice location

4111 Capitol St Ste a
Durham, NC 27704

Mailing address

3 Maryland Farms Ste 200
Brentwood, TN 37027-5005
Phone (615) 345-5400

Other practice location 1

4801 Oak Way
Raleigh, NC 27613-6347
Phone (615) 345-5400

Other identifiers 2

IdentifierTypeStateIssuer
5909394MedicaidNC
1688207MedicaidLA

Medicare participation

Medicare enrollment files
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

Enrollment IDStateProvider typePAC IDDetails
I20080708000260 NC Practitioner - NeurologyPractitioner - Other (Physician) 0648342683 Reassigns benefits to 3 organizations
Practice locations: Burlington, NC; Durham, NC; Jacksonville, NC

Care Compare profile

Medicare Care Compare
Specialty
Neurology
Education
Other, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1161 Huffman Mill Rd a
Burlington, NC 27215-8862
Phone (919) 477-1588

3642 Henderson Dr a
Jacksonville, NC 28546-5217
Phone (919) 477-1588

4111 Capitol St
Durham, NC 27704-2153
Phone (919) 477-1588

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
11920RLAMDNeurology Physician
2008-00343NCMDSleep Medicine (Psychiatry & Neurology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Geisinger Clinic Current Accepting new patients
Sleep Restoration Center, LLC Past Accepting new patients
Feeling Great, Inc. Past Accepting new patients
Feeling Great, Inc. Past Accepting new patients

Locations

100 N Academy Ave
Danville, PA 17822

Interoperability endpoints

  • Direct secure messaging: john.dellabadia@feelinggreat.chartmakerdirect.com

Organizations & group practices 5

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": "1152835200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1545264000000",
    "number": "1861418733",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 MARYLAND FARMS STE 200",
            "city": "BRENTWOOD",
            "state": "TN",
            "postal_code": "370275005",
            "telephone_number": "615-345-5400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4111 CAPITOL ST STE A",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "27704",
            "telephone_number": "919-477-1588"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4801 Oak Way",
            "address_purpose": "LOCATION",
            "city": "Raleigh",
            "state": "NC",
            "postal_code": "276136347",
            "country_code": "US",
            "telephone_number": "615-345-5400",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELLABADIA",
        "first_name": "JOHN",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-14",
        "last_updated": "2018-12-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "LA",
            "license": "11920R",
            "primary": false
        },
        {
            "code": "2084N0400X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Neurology",
            "state": "NC",
            "license": "2008-00343",
            "primary": true
        },
        {
            "code": "2084S0012X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Sleep Medicine",
            "state": "NC",
            "license": "2008-00343",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5909394",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1688207",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Durham, NC

Sources for this page

Verify at the official NPI Registry.