Active NPI
Jones Edwards Professional Services.Dba
- Case Management Agency
- Greensboro, NC
National Provider Identifier
1093830341
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Case Management Agency
- License
- 83000379
- Legal business name
- JONES EDWARDS PROFESSIONAL SERVICES.DBA
- Practice address
- 1113 E Wendover Ave
Suite B
Greensboro, NC 27405-6773 - Phone
- (336) 279-1000
- Fax
- (336) 279-1066
- NPI assigned
- Mar 19, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Marilyn Jones Edwards, M.S.W.
- Title
- Ceo
- Phone
- (336) 279-1000
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Case Management Agency | 251B00000X | 83000379 | NC | Primary |
Addresses
Primary practice location
1113 E Wendover Ave
Suite B
Greensboro, NC 27405-6773
Mailing address
1113 E Wendover Ave
Suite B
Greensboro, NC 27405-6773
Phone (336) 279-1000
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8300379 | Medicaid | NC |
National Provider Directory
National Provider DirectoryLocations
1113 E Wendover Ave
Ste B
Greensboro, NC 27405
Phone (336) 279-1000
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1093830341",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1113 E WENDOVER AVE",
"address_2": "SUITE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056773",
"telephone_number": "336-279-1000",
"fax_number": "336-279-1066"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1113 E WENDOVER AVE",
"address_2": "SUITE B",
"city": "GREENSBORO",
"state": "NC",
"postal_code": "274056773",
"telephone_number": "336-279-1000",
"fax_number": "336-279-1066"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONES EDWARDS PROFESSIONAL SERVICES.DBA",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-19",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "EDWARDS",
"authorized_official_first_name": "MARILYN",
"authorized_official_middle_name": "JONES",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "336-279-1000",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "M.S.W."
},
"taxonomies": [
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": "NC",
"license": "83000379",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "8300379",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Greensboro, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.