NPIMap

Individual provider Active NPI

Jessica Lynn Emly, CNM

  • Advanced Practice Midwife
  • Greensboro, NC
National Provider Identifier
1134510183
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Advanced Practice MidwifeTaxonomy code 367A00000X
License
559 Issued in NC
Practice address
930 3Rd St
Greensboro, NC 27405-6967
Phone
(336) 890-3200
Fax
(336) 890-3290
NPI assigned
Feb 12, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Midwife 176B00000X 559 NC
Advanced Practice Midwife 367A00000X 559 NC Primary

Addresses

Primary practice location

930 3Rd St
Greensboro, NC 27405-6967

Mailing address

3200 Northline Ave Ste 130
Greensboro, NC 27408-7600
Phone (336) 286-6565

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jemily201773@direct.conehealth.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150929003008 NC Practitioner - Certified Nurse Midwife (CNM) 1557679248 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Certified Nurse Midwife (CNM)
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Moses H Cone Memorial Hospital Operating CorporationGroup PAC ID 6204744600, 724 clinicians

Practice addresses (Care Compare)

520 N Elam Ave
FL 1
Greensboro, NC 27403-1127
Phone (336) 389-9898

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Nurse Midwife

State licenses

LicenseStateTypeSpecialty
559NCMDAcupuncturist

Practice roles

OrganizationSpecialtyStatusNew patients
The Moses H Cone Memorial Hospital Operating Corporation CurrentSince Dec 9, 2019 Accepting new patients
Uwh of the Carolinas, PLLC CurrentSince Jul 8, 2015 Accepting new patients
The Moses H. Cone Memorial Hospital Operating Corporation Past Accepting new patients

Locations

3200 Northline Ave
Ste 130
Greensboro, NC 27408
Phone (336) 286-6565

1806 E Market St
Ste 102
Greensboro, NC 27401
Phone (336) 890-5160

1200 N Elm St
Greensboro, NC 27401
Phone (336) 574-7000

520 N Elam Ave
Fl 1
Greensboro, NC 27403
Phone (336) 389-9898

802 Green Valley Rd
Ste 200
Greensboro, NC 27408
Phone (336) 370-0277

930 3rd St
Greensboro, NC 27405
Phone (336) 610-3720

3711 Elmsley St
Ste 101
Greensboro, NC 27406
Phone (336) 890-2165

1806 S Hawthorne Rd
Winston Salem, NC 27103
Phone (336) 768-3632

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": "1423699200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1134510183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3200 NORTHLINE AVE STE 130",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274087600",
            "telephone_number": "336-286-6565",
            "fax_number": "336-286-6566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "930 3RD ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274056967",
            "telephone_number": "336-890-3200",
            "fax_number": "336-890-3290"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EMLY",
        "first_name": "JESSICA",
        "middle_name": "LYNN",
        "credential": "CNM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-12",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "176B00000X",
            "taxonomy_group": "",
            "desc": "Midwife",
            "state": "NC",
            "license": "559",
            "primary": false
        },
        {
            "code": "367A00000X",
            "taxonomy_group": "",
            "desc": "Advanced Practice Midwife",
            "state": "NC",
            "license": "559",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jemily201773@direct.conehealth.com",
            "affiliation": "N",
            "endpointDescription": "Cone Health Direct Message",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "930 3rd St",
            "city": "Greensboro",
            "state": "NC",
            "country_code": "US",
            "postal_code": "274056967",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

Verify at the official NPI Registry.