Individual provider Active NPI

Jeffery Moody II, DC

  • Chiropractor
  • Pinehurst, NC
National Provider Identifier
1881206068
Registry record updated Aug 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
5115 Issued in NC
Practice address
315 Page Rd N Ste 11
Pinehurst, NC 28374-0087
Phone
(910) 295-1215
NPI assigned
Aug 19, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X 5115 NC Primary

Addresses

Primary practice location

315 Page Rd N Ste 11
Pinehurst, NC 28374-0087

Mailing address

175 Richmond St
West End, NC 27376-8003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201001001432 NC Practitioner - Chiropractic 0840619474 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Logan College of Chiropractic, 2019
Medicare assignment
May accept Medicare assignment
Group practices
Pinehurst Chiropractic IncGroup PAC ID 2860402781, 3 clinicians

Practice addresses (Care Compare)

315 Page Rd
Suite 11
Pinehurst, NC 28374-8751
Phone (910) 295-1215

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Pinehurst Chiropractic Inc Chiropractor CurrentSince Aug 19, 2020 Accepting new patients

Locations

315 Page Rd N
Ste 11
Pinehurst, NC 28374
Phone (910) 295-1215

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1597795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1597881600000",
    "number": "1881206068",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "175 RICHMOND ST",
            "city": "WEST END",
            "state": "NC",
            "postal_code": "273768003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "315 PAGE RD N STE 11",
            "city": "PINEHURST",
            "state": "NC",
            "postal_code": "283740087",
            "telephone_number": "910-295-1215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOODY",
        "first_name": "JEFFERY",
        "name_prefix": "Dr.",
        "name_suffix": "II",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-19",
        "last_updated": "2020-08-20",
        "certification_date": "2020-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "NC",
            "license": "5115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pinehurst, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.