Individual provider Active NPI

James M Owens, PA-C

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1053357368
Registry record updated Oct 27, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
103548 Issued in NC
Practice address
170 Kimel Park Dr
Winston Salem, NC 27103-6946
Phone
(336) 768-1270
NPI assigned
Jun 22, 2006
Last updated
Oct 27, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 27, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 103548 NC Primary
Surgical Physician Assistant 363AS0400X 103548 NC

Addresses

Primary practice location

170 Kimel Park Dr
Winston Salem, NC 27103-6946

Mailing address

4601 Park Rd Ste 300
Charlotte, NC 28209-2290
Phone (704) 323-2000

Other practice location 1

1211 Virginia St
Greensboro, NC 27401-1313
Phone (336) 275-0927

Other practice location 2

1130 N Church St
Suite 100
Greensboro, NC 27401-1008
Phone (336) 375-2300

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jowens4430@direct.conehealth.com Direct

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
I20050228000233 NC Practitioner - Physician Assistant 8426001744 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

Merit-based Incentive Payment System (MIPS)

Final score
90.12 of 100Reported as group
Quality
80.57
Promoting interoperability
100
Improvement activities
40
Cost
77.81

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
103548NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Orthocarolina, PA Physician Assistant CurrentSince Dec 18, 2023 Accepting new patients
Moses Cone Physician Services Inc CurrentSince Dec 13, 2015 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation Physician Assistant CurrentSince Jul 19, 2017 Accepting new patients
Orthocarolina Physician Assistant CurrentSince Dec 18, 2023 Accepting new patients
Moses Cone Physician Services, Inc. Physician Assistant CurrentSince Dec 13, 2015 Accepting new patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Jul 19, 2017 Accepting new patients

Locations

1915 Randolph Rd
Charlotte, NC 28207
Phone (704) 339-1000

4601 Park Rd
Ste 300
Charlotte, NC 28209
Phone (704) 323-2090

1131 N Church St
Greensboro, NC 27401
Phone (336) 358-5100

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

1211 Virginia St
Greensboro, NC 27401
Phone (336) 272-0012

1313 Carolina St
Ste 101
Greensboro, NC 27401
Phone (336) 235-4372

301 E Wendover Ave
Ste 411
Greensboro, NC 27401
Phone (336) 832-3200

170 Kimel Park Dr
Winston Salem, NC 27103
Phone (336) 765-7058

Interoperability endpoints

  • Direct secure messaging: jowens4430@direct.conehealth.com

Organizations & group practices 8

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": "1150934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1698364800000",
    "number": "1053357368",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4601 PARK RD STE 300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282092290",
            "telephone_number": "704-323-2000",
            "fax_number": "336-375-2314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 KIMEL PARK DR",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271036946",
            "telephone_number": "336-768-1270"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1211 Virginia St",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011313",
            "country_code": "US",
            "telephone_number": "336-275-0927",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1130 N Church St",
            "address_2": "Suite 100",
            "address_purpose": "LOCATION",
            "city": "Greensboro",
            "state": "NC",
            "postal_code": "274011008",
            "country_code": "US",
            "telephone_number": "336-375-2300",
            "fax_number": "336-375-2314",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OWENS",
        "first_name": "JAMES",
        "middle_name": "M",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-22",
        "last_updated": "2023-10-27",
        "certification_date": "2023-10-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "103548",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "103548",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jowens4430@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "cone health direct address",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1211 Virginia St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274011313",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.