Active NPI
Jamande Amin Jones, M.D.
- Pediatrics Physician
- Ahoskie, NC
National Provider Identifier
1003136383
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 200300287
- Practice address
- 120 Health Center Dr
Ahoskie, NC 27910-8161 - Phone
- (252) 332-3548
- Fax
- (252) 332-1665
- NPI assigned
- Jun 9, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 200300287 | NC | Primary |
Addresses
Primary practice location
120 Health Center Dr
Ahoskie, NC 27910-8161
Mailing address
PO Box 669
Ahoskie, NC 27910-0669
Phone (252) 209-0237
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 200300287 | NC | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients | |
| Roanoke Chowan Community Health Center Inc | Current | Accepting new patients |
Locations
500 Academy St S
Ahoskie, NC 27910
Phone (252) 209-3000
120 Health Center Dr
Ahoskie, NC 27910
Phone (252) 209-0237
401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941
305 Beechwood Blvd
Murfreesboro, NC 27855
Phone (252) 398-3323
Interoperability endpoints
- jjones106591@direct.ochin.org
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Federally Qualified Health Center (FQHC)
- Colerain, NC
- NPI 1790851004
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Federally Qualified Health Center (FQHC)
- Woodland, NC
- NPI 1023675113
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1276041600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1391990400000",
"number": "1003136383",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 669",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279100669",
"telephone_number": "252-209-0237",
"fax_number": "252-209-0197"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 HEALTH CENTER DR",
"city": "AHOSKIE",
"state": "NC",
"postal_code": "279108161",
"telephone_number": "252-332-3548",
"fax_number": "252-332-1665"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JAMANDE",
"middle_name": "AMIN",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-09",
"last_updated": "2014-02-10",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NC",
"license": "200300287",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Ahoskie, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.