JIMMY NICOLAS PAN DO
NPI 1770110512
Family Medicine in Clayton, NC

NPI Status: Active since March 23, 2020

Contact Information

34 HEALTHPARK WAY STE 100
CLAYTON, NC
ZIP 27520
Phone: (919) 585-8850
Fax: (919) 585-8869

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  • Individual
  • Male
  • Years of Experience 6
  • Family Medicine
  • Accepts Insurance
  • Accepts Medicare Approved Payment

About JIMMY PAN

This page provides the complete NPI Profile along with additional information for Jimmy Pan, a primary care provider established in Clayton, North Carolina with a medical specialization in Family Medicine and more than 6 years of experience. He graduated from West Virginia School Of Osteopathic Medicine in 2020. The healthcare provider is registered in the NPI registry with number 1770110512 assigned on March 2020. The practitioner's primary taxonomy code is 207Q00000X with license number 2023-02430 (NC). The provider is registered as an individual and his NPI record was last updated one year ago.

NPI
1770110512
Provider Name
JIMMY NICOLAS PAN DO
Gender
Male
Entity Type
Individual
Location Address
34 HEALTHPARK WAY STE 100 CLAYTON, NC 27520
Location Phone
(919) 585-8850
Location Fax
(919) 585-8869
Mailing Address
5221 PARAMOUNT PKWY STE 220 MORRISVILLE, NC 27560
Medical School Name
WEST VIRGINIA SCHOOL OF OSTEOPATHIC MEDICINE
Graduation Year
2020
Is Sole Proprietor?
Yes
Enumeration Date
03-23-2020
Last Update Date
01-30-2025
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A primary care provider (PCP) like Jimmy Pan sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc

Location Map

Secondary Locations

  • 1601 Owen Dr
    Fayetteville, NC 28304
    (910) 678-0100

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Family Medicine

Taxonomy Code
207Q00000X
Type
Allopathic & Osteopathic Physicians
License No.
2023-02430
License State
NC
Taxonomy Description
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Blue Advantage Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Bronze Complete | $60 PCP | $20 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Bronze Standard | Nationwide Doctors - PPO
  • Blue Advantage Gold Premier | 3 Free PCP | $10 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Gold Standard | Nationwide Doctors - PPO
  • Blue Advantage Silver Choice | 3 Free PCP | $15 Tier 1 Rx | Nationwide Doctors - PPO
  • Blue Advantage Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | Nationwide Doctors - PPO
  • Blue Advantage Silver Standard | Nationwide Doctors - PPO
  • Blue Care Bronze Standard | Statewide Doctors - HMO
  • Blue Care Gold Standard | Statewide Doctors - HMO
  • Blue Care Silver Standard | Statewide Doctors - HMO
  • Blue Home Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Bronze Complete | $60 PCP | $20 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Bronze Standard | with UNC Health Alliance - EPO
  • Blue Home Gold Premier | 3 Free PCP | $10 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Gold Standard | with UNC Health Alliance - EPO
  • Blue Home Silver Choice | 3 Free PCP | $15 Tier 1 Rx | with UNC Health Alliance - EPO
  • Blue Home Silver Preferred | 3 Free PCP | $10 Tier 1 Rx | Integrated | with UNC Health Alliance - EPO
  • Blue Home Silver Standard | with UNC Health Alliance - EPO
  • Blue Value Bronze Basic | 3 Free PCP | $20 Tier 1 Rx | Integrated | Limited Statewide Doctors - POS
  • UHC Bronze Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, No Referrals) - HMO
  • UHC Bronze Standard (No Referrals) - HMO
  • UHC Bronze Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Bronze Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Advantage ($0 Virtual Urgent Care, $1 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Advantage+ ($0 Virtual Urgent Care, $1 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Gold Copay Focus $0 Indiv Med Ded ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Gold Standard (No Referrals) - HMO
  • UHC Silver Advantage ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Advantage+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO
  • UHC Silver Standard (No Referrals) - HMO
  • UHC Silver Value ($0 Virtual Urgent Care, $3 Tier 2 Rx, No Referrals) - HMO
  • UHC Silver Value+ ($0 Virtual Urgent Care, $3 Tier 2 Rx, Dental + Vision, No Referrals) - HMO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Medicare Participation & PECOS Enrollment Status

Jimmy Pan is registered with Medicare and accepts claims assignment, this means the provider accepts the approved amount for the cost of rendered services as full payment. Participating providers may not charge beneficiaries more than the approved amount for their services. Please keep in mind that beneficiaries still have to pay a coinsurance or copayment amount for a visit or service.

What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.

  • PECOS PAC ID: 1456773829

    What is the PECOS Associate Control ID?
    A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.

  • PECOS Enrollment ID: I20231106000492

    What is the Provider Enrollment ID?
    The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.

  • Accepts Medicare Assignment? Yes

    What does it mean "accepts medicare assignment"?
    When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
    A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.

Find Provider Hospital Affiliations - Privileges

Doctors and physicians must apply for hospital privileges to treat patients at hospitals. Find out if your doctor has privileges to practice at your preferred hospital by using the hospital affiliation information below based on recent medical claims.

Hospital affiliation is identified through self-reporting data, inpatient, outpatient, physician and ancillary service claims linked by the medical claims NPI number and place of service code. Additionally, to further determine provider hospital affiliation the clinician must have provided services to at least three patients on three different dates in the last 12 months. Jimmy Pan is affiliated with the following medical facilities:

Hospital Name Address Phone Hospital Type Overall Rating
JOHNSTON HEALTH509 BRIGHT LEAF BLVD
SMITHFIELD, NC 27577
(919) 934-8171Acute Care Hospitals
REX HOSPITAL4420 LAKE BOONE TRAIL
RALEIGH, NC 27607
(919) 784-3100Acute Care Hospitals

Reviews for JIMMY NICOLAS PAN DO

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1770110512
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2714021052
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 4 + 0 + 2 + 1 + 0 + 5 + 2 + 24 = 48
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 48 = 22

The NPI number 1770110512 is valid because the calculated check digit 2 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 14 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306908116 STEPHANIE ANN BURKE PA-C
Individual
Physician Assistant34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1023354024MRS. ANNA SULLIVAN BRUTON ANP-C
Individual
Nurse Practitioner (Adult Health)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1487214185 MEREDITH-SCOTT POWELL BAKER
Individual
Nurse Practitioner (Family)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1225419369 ANGELA BYRD AGPCNP-C
Individual
Nurse Practitioner34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1700839941 JACQUELINE LOUISE ROOKWOOD MD
Individual
Internal Medicine34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1033349261 MAI TRANG LE NGUYEN M.D.
Individual
Internal Medicine34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1205289766MRS. KARLA R PATRIA MBA, RD, LDN
Individual
Dietitian, Registered34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1184650277 PAUL TALERICO MD
Individual
Physical Medicine & Rehabilitation34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1649829557 BRYAN TERENCE EDWARDS PA-C
Individual
Physician Assistant34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1922189307MR. RICHARD M BROWNE PA
Individual
Physician Assistant34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1285228510 ALYSSA YOUNG NP
Individual
Nurse Practitioner (Gerontology)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1003527060 AMANDA HOTCHKISS LCSW
Individual
Social Worker (Clinical)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1104417302 MAGHAN WALKER NP
Individual
Nurse Practitioner (Family)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850
1174386056MRS. TIFFANY DANIELLE MILLER MSN, APRN, FNP-BC
Individual
Nurse Practitioner (Family)34 HEALTHPARK WAY STE 100
CLAYTON, NC 27520
(919) 585-8850

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1770110512, enumerated in the NPI registry as an "individual" on March 23, 2020

The provider is located at 34 Healthpark Way Ste 100 Clayton, Nc 27520 and the phone number is (919) 585-8850

The provider's speciality is Family Medicine with taxonomy code 207Q00000X

The provider has more than 6 years of experience. He graduated from West Virginia School Of Osteopathic Medicine in 2020.

The provider might be accepting Accepts: Blue Cross and Blue Shield of NC and. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The practitioner is affiliated to the following hospital(s): JOHNSTON HEALTH and REX HOSPITAL. Hospital affiliations are identified through self-reporting data and service claims based on the place of service.

This NPI record was last updated on March 23, 2020. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.