Individual provider Active NPI

Jamie Jones, PA-C

  • Physician Assistant
  • New Bern, NC
National Provider Identifier
1073902813
Registry record updated Jan 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-05489 Issued in NC
Practice address
2115 Neuse Blvd
New Bern, NC 28560-4309
Phone
(252) 633-4461
Fax
(252) 633-6016
NPI assigned
Jan 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-05489 NC Primary

Addresses

Primary practice location

2115 Neuse Blvd
New Bern, NC 28560-4309

Mailing address

2115 Neuse Blvd
New Bern, NC 28560-4309
Phone (252) 633-4461

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
I20150320001233 NC Practitioner - Physician Assistant 2365769841 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dermatology Associates of Coastal Carolina PAGroup PAC ID 1658375092, 14 clinicians

Practice addresses (Care Compare)

3332 Bridges St
Suite B
Morehead City, NC 28557-3296
Phone (252) 622-4378

Hospital & facility affiliations

  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Quality
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Dermatology Associates of Coastal Carolina CurrentSince May 1, 2019 Accepting new patients
Dermatology Associates of Coastal Carolina, PA Past Accepting new patients

Locations

39A Office Park Dr
Jacksonville, NC 28546
Phone (252) 633-4461

3332 Bridges St
Ste B
Morehead City, NC 28557
Phone (252) 622-4378

2115 Neuse Blvd
New Bern, NC 28560
Phone (252) 633-4461

Organizations & group practices 2

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1421366400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579651200000",
    "number": "1073902813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2115 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604309",
            "telephone_number": "252-633-4461",
            "fax_number": "252-633-6016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2115 NEUSE BLVD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285604309",
            "telephone_number": "252-633-4461",
            "fax_number": "252-633-6016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JAMIE",
        "name_prefix": "Ms.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-16",
        "last_updated": "2020-01-22",
        "certification_date": "2020-01-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05489",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.