Individual provider Active NPI

Jon M Hughes, NP

  • Family Nurse Practitioner
  • South Boston, VA
National Provider Identifier
1063931897
Registry record updated May 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
0024175354 Issued in VA
Practice address
2204 Wilborn Ave
South Boston, VA 24592-1645
Phone
(434) 517-3100
NPI assigned
Sep 13, 2017
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 21, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 0024175354 VA Primary

Addresses

Primary practice location

2204 Wilborn Ave
South Boston, VA 24592-1645

Mailing address

133 Mallard Lake Dr
Danville, VA 24541-9101
Phone (434) 250-0479

Other practice location 1

133 Enterprise Dr
Danville, VA 24540-4071
Phone (434) 792-2907

Other names 1

  • Jon Michael Hughes Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA, NC2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20171204002680 VA Practitioner - Nurse Practitioner 2860759685 Reassigns benefits to 1 organization
I20241216000548 NC Practitioner - Nurse Practitioner 2860759685 Reassigns benefits to 1 organization

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Medexpress Urgent Care, PC - Virginia CurrentSince May 1, 2023 Accepting new patients
Medexpress Urgent Care, PC - Virginia CurrentSince May 1, 2023 Accepting new patients
Carolina Quickcare Family Practice, PLLC CurrentSince Aug 1, 2024 Accepting new patients

Locations

2265 NC Highway 24 27 E
Biscoe, NC 27209
Phone (919) 810-0054

529 S Van Buren Rd
Eden, NC 27288

5156 US 29 Business
Reidsville, NC 27320

5150 US 29 Business
Reidsville, NC 27320
Phone (336) 660-5775

133 Enterprise Dr
Danville, VA 24540
Phone (434) 792-2907

1336 W Main St
Salem, VA 24153
Phone (540) 389-0374

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1505260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1716249600000",
    "number": "1063931897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "133 MALLARD LAKE DR",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245419101",
            "telephone_number": "434-250-0479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2204 WILBORN AVE",
            "city": "SOUTH BOSTON",
            "state": "VA",
            "postal_code": "245921645",
            "telephone_number": "434-517-3100"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "133 Enterprise Dr",
            "address_purpose": "LOCATION",
            "city": "Danville",
            "state": "VA",
            "postal_code": "245404071",
            "country_code": "US",
            "telephone_number": "434-792-2907",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HUGHES",
        "first_name": "JON",
        "middle_name": "M",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-09-13",
        "last_updated": "2024-05-21",
        "certification_date": "2024-05-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "VA",
            "license": "0024175354",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JON",
            "last_name": "HUGHES",
            "middle_name": "MICHAEL",
            "credential": "NP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in South Boston, VA

Sources for this page

Verify at the official NPI Registry.