Individual provider Active NPI

Jarrod Edward Suddreth, MD

  • Internal Medicine Physician
  • Lenoir, NC
National Provider Identifier
1982288817
Registry record updated Feb 4, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
2024-02277 Issued in NC
Practice address
321 Mulberry St SW
Lenoir, NC 28645-5720
Phone
(828) 757-5504
NPI assigned
May 6, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 4, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X
Student in an Organized Health Care Education/Training Program 390200000X 303279 NC
Internal Medicine Physician 207R00000X 2024-02277 NC Primary

Addresses

Primary practice location

321 Mulberry St SW
Lenoir, NC 28645-5720

Mailing address

333 South Columbia Street 126 Macnider Hall CB 7005
Chapel Hill, NC 27599-7005
Phone (919) 966-1043

Other practice location 1

100 Eastowne Dr
Chapel Hill, NC 27514-2286
Phone (984) 974-4462

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jsuddreth118778@direct.UNC.nchie.net Direct

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
I20241004002010 NC Practitioner - Internal Medicine 0547664013 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of North Carolina at Chapel Hill School of Medicine, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Unc Physicians Network LLCGroup PAC ID 5496940546, 985 clinicians

Practice addresses (Care Compare)

321 Mulberry St SW
Lenoir, NC 28645-5720
Phone (828) 757-5504

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514-2601
Phone (919) 942-5123

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
2024-02277NCMDInternal Medicine Physician
303279NCMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Caldwell Memorial Hospital Inc Internal Medicine CurrentSince Sep 3, 2024 Accepting new patients
Unc Physicians Network LLC Internal Medicine CurrentSince Sep 30, 2024 Accepting new patients
Unc Physicians Network LLC Current Accepting new patients
Caldwell Memorial Hospital Inc. CurrentSince Sep 3, 2024 Accepting new patients
Caldwell Memorial Hospital, Inc Internal Medicine Current Accepting new patients

Locations

940 Martin Luther King Jr Blvd
Chapel Hill, NC 27514
Phone (919) 942-5123

321 Mulberry St SW
Lenoir, NC 28645
Phone (828) 757-5100

5221 Paramount Pkwy
Ste 420
Morrisville, NC 27560
Phone (984) 215-6533

Interoperability endpoints

  • Direct secure messaging: jsuddreth118778@direct.unc.nchie.net
  • Direct secure messaging: dsuddreth272540@directhisp.wakemed.org

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 and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1620259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738627200000",
    "number": "1982288817",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "333 SOUTH COLUMBIA STREET 126 MACNIDER HALL CB 7005",
            "city": "CHAPEL HILL",
            "state": "NC",
            "postal_code": "275997005",
            "telephone_number": "919-966-1043",
            "fax_number": "919-843-2356"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 MULBERRY ST SW",
            "city": "LENOIR",
            "state": "NC",
            "postal_code": "286455720",
            "telephone_number": "828-757-5504"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "100 Eastowne Dr",
            "address_purpose": "LOCATION",
            "city": "Chapel Hill",
            "state": "NC",
            "postal_code": "275142286",
            "country_code": "US",
            "telephone_number": "984-974-4462",
            "fax_number": "919-843-0740",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUDDRETH",
        "first_name": "JARROD",
        "middle_name": "EDWARD",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-05-06",
        "last_updated": "2025-02-04",
        "certification_date": "2025-02-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NC",
            "license": "303279",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "2024-02277",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jsuddreth118778@direct.UNC.nchie.net",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "CDA/CCD/TXT",
            "address_1": "321 Mulberry St SW",
            "city": "Lenoir",
            "state": "NC",
            "country_code": "US",
            "postal_code": "286455720",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lenoir, NC

Sources for this page

Verify at the official NPI Registry.