Active NPI
Jason Kyle Honaker, PA
- Physician Assistant
- Wake Forest, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05410
- Practice address
- 10500 Ligon Mill Rd Ste 113
Wake Forest, NC 27587-4576 - Phone
- (919) 570-5705
- NPI assigned
- Mar 6, 2007
- Last updated
- Jul 29, 2026
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05410 | NC | Primary |
| Physician Assistant | 363A00000X | 0110002364 | VA | |
| Physician Assistant | 363A00000X | 014724 | NY |
Addresses
Primary practice location
10500 Ligon Mill Rd Ste 113
Wake Forest, NC 27587-4576
Mailing address
PO Box 60447
Suite 4K
Charlotte, NC 28260-0447
Phone (910) 721-4100
Other practice location 1
584 Hospital Dr NE
Suite C
Bolivia, NC 28422-0019
Phone (910) 721-4100
Other practice location 2
257 Hospital Dr.
Suite 101
Bolivia, NC 28422-8411
Phone (910) 721-4100
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jhonaker294786@direct.novanthealth.org |
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
10500 Ligon Mill Rd
Suite 113
Wake Forest, NC 27587-4576
Phone (919) 570-5705
257 Hospiatl Dr NE
Suite 100
Bolivia, NC 28422-8411
Phone (910) 721-4150
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
5145 Sellers Rd
Shallotte, NC 28470-3405
Phone (910) 754-4572
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05410 | NC | MD | Physician Assistant |
| 014724 | NY | MD | Physician Assistant |
| 0110002364 | VA | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
3333 Silas Creek Pkwy
Winston Salem, NC 27103
Phone (336) 277-8800
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.
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
dba Novant Health Palliative Care
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Winston Salem, NC
- NPI 1457792921
-
dba Novant Health Northlake Dermatology
- Dermatopathology Physician
- Huntersville, NC
- NPI 1396751640
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Brunswick Medical Center
- General Acute Care Hospital
- Bolivia, NC
- NPI 1710915756
-
dba Novant Health New Hanover Regional Medical Center
- General Acute Care Hospital
- Wilmington, NC
- NPI 1376139139
-
- Home Health Agency
- Wilmington, NC
- NPI 1760470660
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173139200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1785283200000",
"number": "1215067541",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"address_2": "SUITE 4K",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447",
"telephone_number": "910-721-4100",
"fax_number": "910-721-4101"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10500 LIGON MILL RD STE 113",
"city": "WAKE FOREST",
"state": "NC",
"postal_code": "275874576",
"telephone_number": "919-570-5705"
}
],
"practiceLocations": [
{
"address_1": "584 Hospital Dr NE",
"address_2": "Suite C",
"address_purpose": "LOCATION",
"city": "Bolivia",
"state": "NC",
"postal_code": "284220019",
"country_code": "US",
"telephone_number": "910-721-4100",
"fax_number": "910-721-4101",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "257 Hospital Dr.",
"address_2": "Suite 101",
"address_purpose": "LOCATION",
"city": "Bolivia",
"state": "NC",
"postal_code": "284228411",
"country_code": "US",
"telephone_number": "910-721-4100",
"fax_number": "910-721-4101",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HONAKER",
"first_name": "JASON",
"middle_name": "KYLE",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-03-06",
"last_updated": "2026-07-29",
"certification_date": "2026-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05410",
"primary": true
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "VA",
"license": "0110002364",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NY",
"license": "014724",
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jhonaker294786@direct.novanthealth.org",
"affiliation": "N",
"address_1": "584 Hospital Dr NE",
"address_2": "Suite C",
"city": "Bolivia",
"state": "NC",
"country_code": "US",
"postal_code": "284220019",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Wake Forest, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.