Organization Active NPI

Jones Edwards Professional Services.Dba

  • Case Management Agency
  • Greensboro, NC
National Provider Identifier
1093830341
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
License
83000379 Issued in NC
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

Updated by the provider on Aug 22, 2020

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
8300379MedicaidNC

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.