Individual provider Active NPI

Jason S. Alford, FNP-C

  • Family Nurse Practitioner
  • Kernersville, NC
National Provider Identifier
1164048385
Registry record updated Sep 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
5013239 Issued in NC
Practice address
820 Eastgrove CT
Kernersville, NC 27284-7670
Phone
(336) 408-3748
NPI assigned
Jun 23, 2020
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 5013239 NC Primary

Addresses

Primary practice location

820 Eastgrove CT
Kernersville, NC 27284-7670

Mailing address

730 Highland Oaks Dr Ste 201
Winston Salem, NC 27103-7108
Phone (336) 245-6304

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201008002653 NC Practitioner - Nurse Practitioner 5294155404 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
W Scott Moore Et Al PTRGroup PAC ID 2365426483, 12 clinicians

Practice addresses (Care Compare)

730 Highland Oaks Dr
Suite 201
Winston Salem, NC 27103-7108
Phone (336) 768-2425

Hospital & facility affiliations

  • North Carolina Baptist Hospital Hospital, Winston-Salem, NC, CCN 340047

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
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013239NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
W Scott Moore Et Al PTR CurrentSince Oct 5, 2020 Accepting new patients
Nephrology Associates, P.L.L.C. Family CurrentSince Feb 6, 2022 Accepting new patients
Quick Doc Partners LLC Family CurrentSince Aug 15, 2022 Accepting new patients

Locations

10 Laura Ln
Thomasville, NC 27360
Phone (336) 472-4500

3734 Reynolda Rd
Winston Salem, NC 27106
Phone (336) 601-9720

730 Highland Oaks Dr
Ste 201
Winston Salem, NC 27103
Phone (336) 768-2425

2705 Boulder Park Ct
Winston Salem, NC 27101
Phone (229) 387-3527

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 and National Provider Directory roles.

Hospital & facility affiliations 5

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": "1592870400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695340800000",
    "number": "1164048385",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "730 HIGHLAND OAKS DR STE 201",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271037108",
            "telephone_number": "336-245-6304",
            "fax_number": "336-245-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 EASTGROVE CT",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272847670",
            "telephone_number": "336-408-3748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALFORD",
        "first_name": "JASON",
        "middle_name": "S.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-23",
        "last_updated": "2023-09-22",
        "certification_date": "2023-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kernersville, NC

Sources for this page

Verify at the official NPI Registry.