Individual provider Active NPI

Maura Jones

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1114623139
Registry record updated Feb 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
Practice address
1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019
Phone
(910) 794-5355
NPI assigned
Feb 1, 2023
Last updated
Feb 1, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2023

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 Primary

Addresses

Primary practice location

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019

Mailing address

1717 Shipyard Blvd Ste 100
Wilmington, NC 28403-8019

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
I20230424001326 NC Practitioner - Dermatology 4082079231 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Dermatology
Education
Drexel University College of Medicine, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Raleigh Medical Group PAGroup PAC ID 6800874322, 99 clinicians
Summit Cosmetic Surgery Center,PAGroup PAC ID 7911973987, 11 clinicians

Practice addresses (Care Compare)

1505 SW Cary Pkwy
Suite 304
Cary, NC 27511-6219
Phone (919) 782-1806

1717 Shipyard Blvd
Suite 100
Wilmington, NC 28403-8019
Phone (910) 794-5355

Merit-based Incentive Payment System (MIPS)

Final score
88.68 of 100Reported as group
Quality
83.12
Promoting interoperability
100
Improvement activities
40
Cost
79.15

Procedures performed for Medicare patients

ProcedureNumber of procedures
Melanoma (skin cancer) excision1-10
Removal of skin lesions643
Skin biopsy190

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Raleigh Medical Group, PA CurrentSince Sep 9, 2025 Accepting new patients
Summit Plastic Surgery & Dermatology, PLLC CurrentSince Jun 11, 2024 Accepting new patients
Summit Cosmetic Surgery Center,PA CurrentSince Jan 11, 2023 Accepting new patients

Locations

1505 SW Cary Pkwy
Ste 304
Cary, NC 27511
Phone (919) 463-9443

2406 Blue Ridge Rd
Ste 220
Raleigh, NC 27607
Phone (919) 791-0840

3521 Haworth Dr
Raleigh, NC 27609
Phone (919) 782-1806

58 Physicians Dr NW
Supply, NC 28462
Phone (910) 755-5437

58 Physicians Dr NW
Ste 103
Supply, NC 28462
Phone (910) 755-5015

1717 Shipyard Blvd
Ste 100
Wilmington, NC 28403
Phone (910) 794-5355

Interoperability endpoints

  • Direct secure messaging: maura@summitderma.emadirect.md

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1675209600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1114623139",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 SHIPYARD BLVD STE 100",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284038019",
            "telephone_number": "910-794-5355"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MAURA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-01",
        "last_updated": "2023-02-01",
        "certification_date": "2023-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.