Individual provider Active NPI

Frederick Samuel Jones Jr., M.D.

  • Nephrology Physician
  • Raleigh, NC
National Provider Identifier
1023044013
Registry record updated Mar 30, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nephrology PhysicianTaxonomy code 207RN0300X
License
30180 Issued in NC
Practice address
3031 New Bern Ave
Suite 306
Raleigh, NC 27610-1214
Phone
(919) 231-3966
Fax
(919) 231-1840
NPI assigned
Jun 23, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 30, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nephrology Physician 207RN0300X 30180 NC Primary

Addresses

Primary practice location

3031 New Bern Ave
Suite 306
Raleigh, NC 27610-1214

Mailing address

3031 New Bern Ave Ste 306
Raleigh, NC 27610-2989
Phone (919) 231-3966

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address ncnephrologyassociates@directaddress.net

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040406000566 NC Practitioner - Nephrology 4385536341 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
30180NCMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
North Carolina Nephrology PA Nephrology CurrentSince Jan 1, 2017 Accepting new patients
North Carolina Nephrology PA Nephrology CurrentSince Jan 1, 2017 Accepting new patients
Rac Surgery Center LLC Current Accepting new patients
Wake Nephrology Associates, P.a. Past Accepting new patients

Locations

4420 Lake Boone Trl
Raleigh, NC 27607
Phone (919) 784-3034

3031 New Bern Ave
Ste 306
Raleigh, NC 27610
Phone (919) 459-8409

2824 Rogers Rd
Ste 104
Wake Forest, NC 27587

Organizations & group practices 4

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1151020800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617062400000",
    "number": "1023044013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3031 NEW BERN AVE STE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276102989",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-3912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 NEW BERN AVE",
            "address_2": "SUITE 306",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276101214",
            "telephone_number": "919-231-3966",
            "fax_number": "919-231-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "FREDERICK",
        "middle_name": "SAMUEL",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-23",
        "last_updated": "2021-03-30",
        "certification_date": "2021-03-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RN0300X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Nephrology",
            "state": "NC",
            "license": "30180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ncnephrologyassociates@directaddress.net",
            "affiliation": "N",
            "address_1": "3031 New Bern Ave",
            "address_2": "Suite 306",
            "city": "Raleigh",
            "state": "NC",
            "country_code": "US",
            "postal_code": "276101214",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Raleigh, NC

Sources for this page

Verify at the official NPI Registry.