Individual provider Active NPI

Jamie Keyarna Malone

  • Nurse Practitioner
  • High Point, NC
National Provider Identifier
1053287003
Registry record updated Jul 2, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
5023486 Issued in NC
Practice address
1580 Skeet Club Rd
High Point, NC 27265-9530
Phone
(336) 883-0029
Fax
(336) 883-0867
NPI assigned
Oct 16, 2025
Last updated
Jul 2, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 2, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Women's Health Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LW0102X 5023486 NC
Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363L00000X 5023486 NC Primary
Family Nurse PractitionerGroup: 193200000X MULTI-SPECIALTY GROUP 363LF0000X 5023486 NC

Addresses

Primary practice location

1580 Skeet Club Rd
High Point, NC 27265-9530

Mailing address

645 N Main St
High Point, NC 27260-5017
Phone (336) 883-0029

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251209000337 NC Practitioner - Nurse Practitioner 4486148442 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Georgetown University School of Medicine, 2025
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Bethany Medical CenterGroup PAC ID 4486614575, 71 clinicians

Practice addresses (Care Compare)

507 N Lindsay St
High Point, NC 27262-4303
Phone (336) 883-0029

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
000123NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Bethany Medical Center, PA Multi-Specialty CurrentSince Nov 17, 2025 Accepting new patients
Bethany Medical Center Multi-Specialty CurrentSince Nov 17, 2025 Accepting new patients
Bethany Medical Center, PA Multi-Specialty Past Accepting new patients
Bethany Medical Center Multi-Specialty Past Accepting new patients
Bethany Medical Center Multi-Specialty Past Accepting new patients
Bethany Medical Center PA Multi-Specialty Past Accepting new patients

Locations

3402 Battleground Ave
Greensboro, NC 27410
Phone (336) 545-1515

3801 W Market St
Greensboro, NC 27407
Phone (336) 852-3300

1580 Skeet Club Rd
High Point, NC 27265
Phone 336883002912268

1580 Skeet Club Rd
Fl 1
High Point, NC 27265

2805 S Main St
High Point, NC 27263
Phone (336) 431-1149

3604 Peters Ct
High Point, NC 27265
Phone (336) 812-3610

3605 Peters Ct
High Point, NC 27265
Phone (336) 841-1850

3610 Peters Ct
High Point, NC 27265

507 N Lindsay St
High Point, NC 27262

645 N Main St
High Point, NC 27260
Phone (336) 882-7700

819 N Main St
Ste 112
High Point, NC 27262
Phone (336) 289-2299

108 W Main St
Ste E
Jamestown, NC 27282

495 Arbor Hill Rd
Ste R
Kernersville, NC 27284

975 NC Highway 66 S
Kernersville, NC 27284

1908 Caudle Dr
Ste 100105
Mount Airy, NC 27030

1908 Caudle Dr
Ste 105
Mount Airy, NC 27030

1103 W D St
North Wilkesboro, NC 28659
Phone (336) 990-0595

160 Kimel Forest Dr
Ste 100
Winston Salem, NC 27103
Phone (336) 714-6400

5093 University Pkwy
Winston Salem, NC 27106

Organizations & group practices 6

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1760572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1782950400000",
    "number": "1053287003",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "645 N MAIN ST",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272605017",
            "telephone_number": "336-883-0029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1580 SKEET CLUB RD",
            "city": "HIGH POINT",
            "state": "NC",
            "postal_code": "272659530",
            "telephone_number": "336-883-0029",
            "fax_number": "336-883-0867"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MALONE",
        "first_name": "JAMIE",
        "middle_name": "KEYARNA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-10-16",
        "last_updated": "2026-07-02",
        "certification_date": "2026-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LW0102X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Women's Health",
            "state": "NC",
            "license": "5023486",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "5023486",
            "primary": true
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5023486",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in High Point, NC

Sources for this page

Verify at the official NPI Registry.