JEANETTE L. BOURNE MD – NPI #1831241272
General Practice

A physician who specializes in the general practice of diagnosing, treating, and managing patients with a variety of illnesses and conditions.

JEANETTE BOURNE is a physician located in HUNTERSVILLE, NC. NPPES has assigned the NPI number 1831241272 to JEANETTE BOURNE on January 17, 2007. It is a Type-1 NPI, indicating this NPI number is associated with an individual. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 208D00000X from the Health Care Provider Taxonomy code set, which is classified as General Practice.

The NPI profile was last updated on Mar 05, 2026. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for JEANETTE BOURNE below.

NPI Profile for
JEANETTE L. BOURNE

NPI Number
1831241272
Enumeration Date

(more than 19 years ago)
Entity Type
Type-1  Individual (Female)
Legal Name
JEANETTE L. BOURNE
Credentials
MD
Primary location
16511 NORTHCROSS DR STE A
HUNTERSVILLE, NC 28078-5021
Phone: (910) 296-2130 Fax: (704) 896-3313
1 Other location(s):
601 Martin Luther King Drive
Suite 244
Winston Salem, NC 27110-0001
Phone: (336) 750-3300
Fax: (336) 750-3303
Mailing address
2728 EVANS DAIRY RD
FAYETTEVILLE, NC 28312-7194
Phone: (919) 827-7766 Fax:
Sole Proprietor
Yes
Updated
Certification Date
Mar 05, 2026

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
208D00000X
- General Practice (Primary)
NC 9300658
207V00000X
- Obstetrics & Gynecology
NC 9300658

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Education
UNIVERSITY OF MASSACHUSETTS MEDICAL SCHOOL - Graduated 1987
Accepts Medicare
This provider accepts Medicare-approved amount as payment in full. The Medicare-approved amount is the total the provider can be paid. When a provider accepts the Medicare-approved amount as payment, you won't be billed for more than the Medicare deductible & coinsureance.
Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices

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How do I correct or change the NPI data displayed here?
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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.