Jennifer Jo

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

2003-00999 Issued in NC

Practice address

3500 Bush St
Raleigh, NC 27609-7509

Phone

(919) 875-8150

Fax

(919) 875-9577

NPI assigned

Oct 25, 2006

Last updated

Jan 6, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

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

Specialty

Family Practice

Education

Northwestern University Feinberg Medical School, 2000

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Family Medical Associates of Raleigh, PAGroup PAC ID 7012811656, 10 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jenniferjo@fameasofr.allscriptsdirect.net

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.

• Family Medical Associates of Raleigh, PA

  • Family Medicine Physician
  • Raleigh, NC
  • NPI 1619099256
  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1578268800000",
    "number": "1063596120",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3500 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097509",
            "telephone_number": "919-875-8150",
            "fax_number": "919-875-9577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3500 BUSH ST",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097509",
            "telephone_number": "919-875-8150",
            "fax_number": "919-875-9577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JO",
        "first_name": "JENNIFER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2020-01-06",
        "certification_date": "2020-01-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2003-00999",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sara Nicole Jinwright, M.ED, CCC SLP
• JKR Eldercare Enterprises (SarahCare Adult Day Care Center)
• JLS Services, LLC
• JMR Development Consulting, PLLC (Therapy Consultants)
• JMR Development Consulting, PLLC (Jane M Roberts Therapy)
• Beatrice Joannis, LCSWA, LCASA
• Job Ready Services, LLC
• Akeida Job
• Emily Jobe, PH.D.
• Haddy Jobe

• Family Medicine Physician in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Family Medicine Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 6, 2020; 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.

Verify at the official NPI Registry.