Active NPI
Frederick Samuel Jones Jr., M.D.
- Nephrology Physician
- Raleigh, NC
National Provider Identifier
1023044013
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nephrology Physician
- License
- 30180
- 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
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 |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 30180 | NC | MD | Pharmacist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Carolina Nephrology PA | Nephrology | Current | Accepting new patients |
| North Carolina Nephrology PA | Nephrology | Current | 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.
-
- Nephrology Physician
- Raleigh, NC
- NPI 1750835336
-
- Nephrology Physician
- Cary, NC
- NPI 1811492663
-
- Ambulatory Surgical Clinic/Center
- Raleigh, NC
- NPI 1275199978
-
- Specialist
- Raleigh, NC
- NPI 1891797049
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 30, 2021; 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.