JEDIDIAH AARON MAHAN - NPI 1154061216 - Pediatrics in Durham, NC

Q: What is Jedidiah Mahan's NPI number?

The NPI number for Jedidiah Mahan is 1154061216. It was assigned to this individual provider in the NPPES registry on March 29, 2022.

Q: What is Jedidiah Mahan's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Jedidiah Mahan was last updated on March 2, 2026. NPI Profile syncs with the weekly NPPES data releases published by CMS.

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About Jedidiah Aaron Mahan NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JEDIDIAH AARON MAHAN (NPI 1154061216) is an individual pediatrics provider in Durham, North Carolina, licensed in North Carolina (310546) and active in the NPI registry since March 2022. He is enrolled in Medicare PECOS and is a graduate of University Of North Texas Hsc, College Of Osteopathic Med (2022).

NPPES Registry Identity

NPI1154061216

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameJEDIDIAH AARON MAHAN

Location Address234 CROOKED CREEK PKWYDurham, NC 27713-8505

Mailing Address2301 Erwin RdDurham, NC 27705-4699

Phone(919) 620-5333

Sole ProprietorNo

Medical School CMSUniversity Of North Texas Hsc, College Of Osteopathic MedGraduated 2022

Enumeration DateMarch 29, 2022

Last NPPES UpdateMarch 2, 2026

NPPES CertifiedMarch 2, 2026

✔ NPI 1154061216 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

License✔ Licensed in NC · 310546

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

234 CROOKED CREEK PKWY, Durham, NC 27713

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jedidiah Aaron Mahan is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID6608250782

PECOS Enrollment IDI20251023002992

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 27713 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$83.90 typical visit price

range $54.12 – $165.09

Typical copayment $20.97 (range $13.53 – $41.27)

Most-billed visit code 99203

Established Patient

$95.94 typical visit price

range $17.21 – $134.61

Typical copayment $23.98 (range $4.30 – $33.65)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.