Active NPI
Thomas Douglass Juopperi, PHYSICIAN ASSISTANT
- Physician Assistant
- Burlington, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-11530
- Practice address
- 104 Huffman Mill Rd
Burlington, NC 27215-5113 - Phone
- (336) 506-1720
- NPI assigned
- Oct 24, 2007
- 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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 3887 | CO | |
| Physician Assistant | 363A00000X | 0010-11530 | NC | Primary |
Addresses
Primary practice location
104 Huffman Mill Rd
Burlington, NC 27215-5113
Mailing address
PO Box 2521
Durham, NC 27715-2521
Phone (719) 244-4619
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2007
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
104 Huffman Mill Rd
Burlington, NC 27215-5113
Phone (336) 506-1720
1261 Julian Allsbrk Hwy
Roanoke Rapids, NC 27870-5127
Phone (252) 537-5600
1361 Klumac Rd
Salisbury, NC 28147-9086
Phone (704) 603-1175
220 US 70 Hwy W
Garner, NC 27529-3943
Phone (919) 779-7890
310 S Stratford Rd
Suite 120
Winston Salem, NC 27103-1820
Phone (336) 714-5399
3215 Battleground Ave
Greensboro, NC 27408-2603
Phone (336) 387-5020
391 George W Liles Pkwy NW
Concord, NC 28027-8218
Phone (704) 886-1780
7010 NC Hwy 751
Durham, NC 27707-5733
Phone (919) 313-3900
724 S Horner Blvd
Sanford, NC 27330-4822
Phone (919) 776-6767
903 S Beckford Dr
Henderson, NC 27536-5908
Phone (252) 654-1020
910 N Madison Blvd
Suite B
Roxboro, NC 27573-4573
Phone (336) 592-2230
Merit-based Incentive Payment System (MIPS)
- Final score
- 74.09 of 100
- Quality
- 65.78
- Improvement activities
- 40
- Cost
- 76.37
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3887 | CO | MD | Family Medicine Physician |
| 0010-11530 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fastmed Primary Care, P.C. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Family Medicine Physician
- Durham, NC
- NPI 1629841788
-
- Family Medicine Physician
- Fayetteville, NC
- NPI 1912774423
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1193184000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1734480000000",
"number": "1972782159",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2521",
"city": "DURHAM",
"state": "NC",
"postal_code": "277152521",
"telephone_number": "719-244-4619"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 HUFFMAN MILL RD",
"city": "BURLINGTON",
"state": "NC",
"postal_code": "272155113",
"telephone_number": "336-506-1720"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JUOPPERI",
"first_name": "THOMAS",
"middle_name": "DOUGLASS",
"name_prefix": "Mr.",
"credential": "PHYSICIAN ASSISTANT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-10-24",
"last_updated": "2024-12-18",
"certification_date": "2024-12-18",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "CO",
"license": "3887",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-11530",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Burlington, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2024; 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.