Individual provider Active NPI

Kamlyn Grey Jones, MD

  • Family Medicine Physician
  • New Bern, NC
National Provider Identifier
1104860717
Registry record updated Mar 1, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
2011-01294 Issued in NC
Practice address
670 Cardinal Rd
New Bern, NC 28562-5201
Phone
(252) 636-6222
Fax
(252) 636-5385
NPI assigned
Jun 15, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101239841 VA
Family Medicine Physician 207Q00000X 2011-01294 NC Primary

Addresses

Primary practice location

670 Cardinal Rd
New Bern, NC 28562-5201

Mailing address

PO Box 12248
New Bern, NC 28561-2248
Phone (252) 514-6685

Other practice location 1

2855 Denbigh Blvd
Suite A
Grafton, VA 23692-6501
Phone (757) 968-5700

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190409001857 NC Practitioner - Family Practice 6800892993 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Brody School of Medicine at East Carolina University, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Coastal Carolina Health Care PAGroup PAC ID 9739087693, 122 clinicians

Practice addresses (Care Compare)

1020 Medical Park Ave
New Bern, NC 28562-5248
Phone (252) 634-2240

Hospital & facility affiliations

  • Centerwell Home Health Home health agency, Pollocksville, NC, CCN 347333
  • Pruitthealth Home Health New Bern Home health agency, New Bern, NC, CCN 347026
  • Carolina East Medical Center Hospital, New Bern, NC, CCN 340131

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
2011-01294NCMDFamily Medicine Physician
0101239841VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Health Care PA Family Medicine CurrentSince Mar 1, 2019 Accepting new patients
Coastal Carolina Health Care PA CurrentSince Mar 1, 2019 Accepting new patients
Coastal Carolina Health Care PA Current Accepting new patients
Coastal Carolina Health Care PA Family Medicine Current Accepting new patients
Coastal Carolina Health Care PA Past Accepting new patients

Locations

1040 Medical Park Ave
New Bern, NC 28562
Phone (252) 633-1678

1020 Medical Park Ave
New Bern, NC 28562
Phone (252) 514-6685

670 Cardinal Rd
New Bern, NC 28562
Phone (252) 514-2061

Interoperability endpoints

  • Direct secure messaging: kjones27043@coastalcarolinahealthcenter.gardenplot.direct-ci.com
  • Direct secure messaging: kjones6016@direct.rivhs.com

Organizations & group practices 5

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 3

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1551398400000",
    "number": "1104860717",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12248",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285612248",
            "telephone_number": "252-514-6685",
            "fax_number": "252-514-2745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 CARDINAL RD",
            "city": "NEW BERN",
            "state": "NC",
            "postal_code": "285625201",
            "telephone_number": "252-636-6222",
            "fax_number": "252-636-5385"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2855 Denbigh Blvd",
            "address_2": "Suite A",
            "address_purpose": "LOCATION",
            "city": "Grafton",
            "state": "VA",
            "postal_code": "236926501",
            "country_code": "US",
            "telephone_number": "757-968-5700",
            "fax_number": "757-968-5717",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KAMLYN",
        "middle_name": "GREY",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2019-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101239841",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "2011-01294",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in New Bern, NC

Sources for this page

Verify at the official NPI Registry.