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DR. MARY JEAN ZIMMER M.D.
NPI 1790747756
Pediatrics in King, NC

Active since April 05, 2006PECOS Enrolled

NPPES record last updated: April 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Mar 17, 2021, Oct 25, 2020 (2 updates tracked since 2020).

About Dr. Mary Jean Zimmer M.d. NPPES

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

DR. MARY JEAN ZIMMER M.D. (NPI 1790747756) is an individual pediatrics provider in King, North Carolina, licensed in North Carolina (32918) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS and maintains a secondary practice location in Charlotte.

NPPES Registry Identity

NPI1790747756
Entity TypeIndividualFemale
Primary Taxonomy208000000X
Provider Legal NameDR. MARY JEAN ZIMMERCredential: M.D.
Location Address216 MOORE RDKing, NC 27021-8703
Mailing AddressPo Box 60447Charlotte, NC 28260-0447 · (704) 384-1440 · Fax (704) 384-1452
Phone(336) 983-4346
Sole ProprietorNo
Enumeration DateApril 5, 2006
Last NPPES UpdateApril 26, 20232 updates tracked since enumeration
NPPES CertifiedApril 26, 2023
✔ NPI 1790747756 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians
Taxonomy Code208000000X
License✔ Licensed in NC · 32918
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.

216 MOORE RD, King, NC 27021
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Secondary Practice Location 1

Location 110508 Park Rd, Suite 100Charlotte, NC 28210-8405 · Phone (704) 384-1440 · Fax (704) 384-1452

Other Identifiers 2

Medicaid8989942NC
MedicaidN32918SC

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of NC.Insurance ›

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Mary Jean Zimmer M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 27021 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.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. TIFFANY SHANTE GIBSON APRN,BC, MN, RNC
Nurse Practitioner
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
FOUNDATION HEALTH SYSTEMS CORP
Physical Therapist
216 MOORE RD, DBA EDWIN H. MARTINAT OUTPT COMP REHAB CTR -KING
KING, NC 27021
Stokes County (336) 719-6165
AMBER MOSER HAIRFORD M.D.
Family Medicine
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
BRITTANY BELL EVERETT NP-C
Nurse Practitioner
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
MIKAYLA AIKO ABEE THOMAS
Physician Assistant
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
DR. ANNA MARTHA CONNOLLY PHARMD
Pharmacist (Pharmacist Clinician (PhC)/ Clinical Pharmacy Specialist)
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
EMILY MARION FISCHER NP-C
Nurse Practitioner
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346
SARAH VOSS BERWANGER NP-C
Nurse Practitioner
216 MOORE RD
KING, NC 27021
Stokes County (336) 983-4346

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Mary Zimmer's NPI number?

The NPI number for Mary Zimmer is 1790747756. It was assigned to this individual provider in the NPPES registry on April 5, 2006.

Where is Mary Zimmer located?

Mary Zimmer practices at 216 Moore Rd, King, NC 27021. The listed phone number is (336) 983-4346.

What is Mary Zimmer's specialty?

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

Is Mary Zimmer enrolled in Medicare?

Yes. Mary Zimmer is registered in the Medicare PECOS enrollment system.

What insurance does Mary Zimmer accept?

Health plans from Blue Cross and Blue Shield of NC list Mary Zimmer as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Mary Zimmer was last updated on April 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.