Jinzhao Ji, PA-C

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

0010-05242 Issued in NC

Practice address

1055 Dresser CT
Raleigh, NC 27609-7323

Phone

(919) 876-3130

Fax

(919) 876-3134

NPI assigned

Sep 15, 2014

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

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

Specialty

Physician Assistant

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

DRX High Point PLLCGroup PAC ID 7113061730, 48 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

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.

• DRX High Point, PLLC

  dba American Family Care

  • Multi-Specialty Clinic/Center
  • High Point, NC
  • NPI 1669701306
  Medicare reassignment Care Compare group
• First Choice Community Health Centers

  • General Practice Physician
  • Lillington, NC
  • NPI 1083971279
  Medicare reassignment NPD
• Carolina Partners in Mental

  dba Carolina Partners of Raleigh NC

  • Non-Pharmacy Dispensing Site
  • Raleigh, NC
  • NPI 1861810715
  NPD (past)
• First Choice Community Health Centers

  dba Benhaven Medical Center

  • Family Medicine Physician
  • Cameron, NC
  • NPI 1740203611
  NPD (past)
• First Choice Community Health Centers

  dba Anderson Creek Medical Center

  • Family Medicine Physician
  • Spring Lake, NC
  • NPI 1902829153
  NPD (past)

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

{
    "created_epoch": "1410739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1255732707",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1502 W NC HIGHWAY 54",
            "address_2": "STE 103",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277075572",
            "telephone_number": "919-354-0840",
            "fax_number": "919-748-4441"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1055 DRESSER CT",
            "city": "RALEIGH",
            "state": "NC",
            "postal_code": "276097323",
            "telephone_number": "919-876-3130",
            "fax_number": "919-876-3134"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1814 Westchester Dr",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627299",
            "country_code": "US",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1814 Westchester Dr",
            "address_2": "Ste 301",
            "address_purpose": "LOCATION",
            "city": "High Point",
            "state": "NC",
            "postal_code": "272627299",
            "country_code": "US",
            "telephone_number": "336-802-2025",
            "fax_number": "336-802-2026",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JI",
        "first_name": "JINZHAO",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-09-15",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-05242",
            "primary": true
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NC",
            "license": "001005242",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kathryn Bailey Jeutter, PA-C, ATC
• Duane Daniel Jewell, CRNA
• Jessie Lynn Jewell, CRNA
• Sheryl Logan Jewett, OTR/L
• Jhazmere Shamas Preston (Mentor Raising Mentors Behavioral Health Services PLLC)
• Katherine Jillson, NP
• Amanda Roth Jimenez, D.O.
• Julia Jimenez, LCAS-A
• Tyler Jimenez
• Yvonne Chau Jimenez, CRNA

• Physician Assistant in Raleigh, NC
• Providers in Raleigh, NC by specialty
• Physician Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; 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.

Verify at the official NPI Registry.