| NPI | 1053511592 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2007-07-23 |
| Last Updated | 2025-03-18 |
| Mailing Address | Po Box 936857 Atlanta, GA 31193-6857 United States 📍 View Map |
| Primary Practice Address | 109 Scotts Hill Medical Dr, Ste 204 Wilmington, NC 28411 United States Phone: (910) 662-1960 | Fax: (910) 550-3787 📍 View Map |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 207R00000X – Internal Medicine | NC | 2008-02034 |
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About NPI 1053511592
Jeffrey Todd Kornegay MD is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1053511592. The primary specialty listed is Internal Medicine. The provider is located in Wilmington, NC. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2007-07-23. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1053511592?
NPI 1053511592 belongs to Jeffrey Todd Kornegay MD, a Internal Medicine in Wilmington, NC. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1053511592 active?
The current status of NPI 1053511592 in the NPPES registry is Active. The record was last updated on 2025-03-18.
What specialty is NPI 1053511592?
NPI 1053511592 is classified under the taxonomy Internal Medicine. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1053511592?
You can verify NPI 1053511592 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1053511592?
The primary practice address on file for NPI 1053511592 is 109 Scotts Hill Medical Dr, Wilmington, NC 28411. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1053511592 issued?
NPI 1053511592 was first issued (enumerated) on 2007-07-23. The NPPES record was last updated on 2025-03-18.
Practice Location Map
Jeffrey Todd Kornegay is located at 109 Scotts Hill Medical Dr, Wilmington, NC. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as Jeffrey Todd Kornegay. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1053511592. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Internal Medicine | 2008-02034 | NC |