Individual provider Active NPI

Jerald Albert Delagarza, MD

  • Pediatrics Physician
  • Rutherfordton, NC
National Provider Identifier
1962411892
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
200200513 Issued in NC
Practice address
288 S Ridgecrest Ave
Suite 100
Rutherfordton, NC 28139-2838
Phone
(828) 287-9325
Fax
(828) 287-9709
NPI assigned
Aug 7, 2006
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 200200513 NC Primary

Addresses

Primary practice location

288 S Ridgecrest Ave
Suite 100
Rutherfordton, NC 28139-2838

Mailing address

288 S Ridgecrest Ave
Suite 100
Rutherfordton, NC 28139-2838
Phone (828) 287-9325

Other practice location 1

387 US 70 W
Marion, NC 28752-6202
Phone (828) 652-6386

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jeralddelagarzamd@Direct.msj.org

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
I20200415003469 NC Practitioner - Pediatric Medicine 8921176157 Reassigns benefits to 3 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
200200513NCMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
MH Mission Hospital McDowell, LLLP CurrentSince Feb 21, 2020 Accepting new patients
Mission Health Community Multispecialty Providers, LLC CurrentSince Feb 1, 2020 Accepting new patients
Mission Community Anesthesiology Specialists LLC CurrentSince Feb 1, 2020 Accepting new patients
MH Blue Ridge Medical Center, LLLP CurrentSince May 1, 2025 Accepting new patients
MH Mission Hospital McDowell, LLLP CurrentSince Feb 21, 2020 Accepting new patients
MH Blue Ridge Medical Center, LLLP Current Accepting new patients
MH Blue Ridge Medical Center, LLLP CurrentSince May 1, 2025 Accepting new patients
Rutherford Hospital Inc PastSince Jan 17, 2022 Accepting new patients
Mission Health Community Multispecialty Providers, LLC Past Accepting new patients
MH Blue Ridge Medical Center, LLLP Past Accepting new patients
DLP Rutherford Physician Practices LLC Pediatrics PastSince Jan 17, 2022 Accepting new patients

Locations

509 Biltmore Ave
Asheville, NC 28801
Phone (828) 213-2325

184 Allendale Dr
Forest City, NC 28043
Phone (828) 659-5000

387 US 70 W
Marion, NC 28752
Phone (828) 652-6386

339 Nebo School Rd
Nebo, NC 28761
Phone (828) 652-6326

288 S Ridgecrest Ave
Ste 100
Rutherfordton, NC 28139
Phone (828) 286-5573

189 Hospital Dr
Spruce Pine, NC 28777
Phone (828) 682-0200

2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426

Interoperability endpoints

  • Direct secure messaging: jeralddelagarzamd@direct.msj.org

Organizations & group practices 11

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": "1154908800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1962411892",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "address_2": "SUITE 100",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392838",
            "telephone_number": "828-287-9325",
            "fax_number": "828-287-9709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "288 S RIDGECREST AVE",
            "address_2": "SUITE 100",
            "city": "RUTHERFORDTON",
            "state": "NC",
            "postal_code": "281392838",
            "telephone_number": "828-287-9325",
            "fax_number": "828-287-9709"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "387 US 70 W",
            "address_purpose": "LOCATION",
            "city": "Marion",
            "state": "NC",
            "postal_code": "287526202",
            "country_code": "US",
            "telephone_number": "828-652-6386",
            "fax_number": "828-652-5730",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAGARZA",
        "first_name": "JERALD",
        "middle_name": "ALBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-07",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NC",
            "license": "200200513",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jeralddelagarzamd@Direct.msj.org",
            "affiliation": "N",
            "address_1": "387 US 70 W",
            "city": "Marion",
            "state": "NC",
            "country_code": "US",
            "postal_code": "287526202",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Rutherfordton, NC

Sources for this page

Verify at the official NPI Registry.