Individual provider Active NPI

Jason E Jones, M.D.

  • Psychiatry Physician
  • Greensboro, NC
National Provider Identifier
1114941978
Registry record updated Jul 4, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
201001483 Issued in NC
Practice address
3511 W Market St
Suite 100
Greensboro, NC 27403-4443
Phone
(336) 632-3505
Fax
(336) 632-3503
NPI assigned
Jul 26, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 4, 2014

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X D0057922 MD
Child & Adolescent Psychiatry Physician 2084P0804X MD435092 PA
Psychiatry Physician 2084P0800X 201001483 NC Primary

Addresses

Primary practice location

3511 W Market St
Suite 100
Greensboro, NC 27403-4443

Mailing address

3511 W Market St
Suite 100
Greensboro, NC 27403-4443
Phone (336) 632-3505

Other identifiers 3

IdentifierTypeStateIssuer
161K5OtherNCBCBS
5917724MedicaidNC
401953900MedicaidMD

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
I20110202000237 NC Practitioner - Psychiatry 8921166372 Reassigns benefits to 4 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
Flagged The directory lists this NPI on an HHS exclusion list. Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
D0057922MDMDPsychiatry Physician
201001483NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Family Service of the Piedmont, Inc. CurrentSince Feb 4, 2020 Accepting new patients
Family Service of the Piedmont, Inc CurrentSince Feb 4, 2020 Accepting new patients
Triad Psychiatric and Counseling Center PA Psychiatry CurrentSince Dec 1, 2010 Accepting new patients
Family Service of the Piedmont, Inc Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Nov 1, 2017 Accepting new patients
Rha Health Services Inc CurrentSince Dec 1, 2014 Accepting new patients
Rha Health Services, Inc CurrentSince Dec 1, 2014 Accepting new patients
Rha Behavioral Health NC LLC Current Accepting new patients
Rha Health Services Inc Current Accepting new patients
Rha Behavioral Health NC LLC CurrentSince Nov 1, 2017 Accepting new patients
University of Maryland Psychiatry Associates, PA Psychiatry Past Accepting new patients
Health Access Network Past Accepting new patients

Locations

211 Perimeter Center Pkwy NE
Ste 750
Atlanta, GA 30346

356 Biltmore Ave
Asheville, NC 28801
Phone (828) 252-0190

3511 W Market St
Ste 100
Greensboro, NC 27403
Phone (336) 522-8999

603 Dolley Madison Rd
Ste 100
Greensboro, NC 27410
Phone (336) 632-3505

315 E Washington St
Greensboro, NC 27401
Phone (336) 387-6161

211 S Centennial St
High Point, NC 27260
Phone (336) 841-0143

308 Boulevard St
High Point, NC 27262
Phone (336) 801-1188

902 Bonner Dr
Jamestown, NC 27282
Phone (336) 387-6161

Organizations & group practices 12

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.

NPI Registry JSON

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

{
    "created_epoch": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1404432000000",
    "number": "1114941978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3511 W MARKET ST",
            "address_2": "SUITE 100",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274034443",
            "telephone_number": "336-632-3505",
            "fax_number": "336-632-3503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JASON",
        "middle_name": "E",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-26",
        "last_updated": "2014-07-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "MD",
            "license": "D0057922",
            "primary": false
        },
        {
            "code": "2084P0804X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Child & Adolescent Psychiatry",
            "state": "PA",
            "license": "MD435092",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "201001483",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "161K5",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "5917724",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "401953900",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.