Active NPI
Jamie Jones Avery, FNP-C
- Nurse Practitioner
- Kinston, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nurse Practitioner
- License
- 5013806
- Practice address
- 313 Airport Rd
Kinston, NC 28504-8209 - Phone
- (252) 559-2201
- NPI assigned
- Nov 10, 2020
- Last updated
- Jan 23, 2023
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 5013806 | NC | Primary |
| Primary Care Nurse Practitioner | 363LP2300X | 5013806 | NC |
Addresses
Primary practice location
313 Airport Rd
Kinston, NC 28504-8209
Mailing address
144 Calvin Hobbs Rd
Faison, NC 28341-7051
Phone (919) 222-0204
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Jamie.Avery@ECUHealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Hargett St
Jacksonville, NC 28540-5933
Phone (910) 219-1082
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5013806 | NC | MD | Primary Care Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Current | Accepting new patients | |
| Goshen Medical Center, Incorporated | Current | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients | |
| Goshen Medical Center Incorporated | Past | Accepting new patients |
Locations
444 SW Center St
Faison, NC 28341
Phone (910) 267-0421
1200 Hargett St
Jacksonville, NC 28540
Phone (910) 219-1082
113 S Pine St
Warsaw, NC 28398
Phone (910) 293-7246
Interoperability endpoints
- jamie.avery@ecuhealth.org
- javery@goshenmedical.cloudcraftdirect.com
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.
-
dba Goshen Medical Center - Duplin
- Federally Qualified Health Center (FQHC)
- Kenansville, NC
- NPI 1962124974
-
- Federally Qualified Health Center (FQHC)
- Faison, NC
- NPI 1154378933
-
dba GMC Pharmacy at Rockingham
- Federally Qualified Health Center (FQHC)
- Rockingham, NC
- NPI 1457181323
-
dba Goshen Medical Center Beulaville
- Federally Qualified Health Center (FQHC)
- Beulaville, NC
- NPI 1639294309
-
- Federally Qualified Health Center (FQHC)
- Warsaw, NC
- NPI 1457477820
-
dba Goshen Medical Center - Mount Olive Mobile Unit
- Federally Qualified Health Center (FQHC)
- Mount Olive, NC
- NPI 1700901287
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1604966400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1674432000000",
"number": "1053913483",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "144 CALVIN HOBBS RD",
"city": "FAISON",
"state": "NC",
"postal_code": "283417051",
"telephone_number": "919-222-0204"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "313 AIRPORT RD",
"city": "KINSTON",
"state": "NC",
"postal_code": "285048209",
"telephone_number": "252-559-2201"
}
],
"practiceLocations": [],
"basic": {
"last_name": "AVERY",
"first_name": "JAMIE",
"middle_name": "JONES",
"credential": "FNP-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-10",
"last_updated": "2023-01-23",
"certification_date": "2023-01-23",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NC",
"license": "5013806",
"primary": true
},
{
"code": "363LP2300X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Primary Care",
"state": "NC",
"license": "5013806",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Jamie.Avery@ECUHealth.org",
"affiliation": "N",
"address_1": "313 Airport Rd",
"city": "Kinston",
"state": "NC",
"country_code": "US",
"postal_code": "285048209",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Kinston, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 23, 2023; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.