Individual provider Active NPI

Charles Wade Jones, MD

  • Surgery Physician
  • Jefferson, NC
National Provider Identifier
1326035056
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Surgery PhysicianTaxonomy code 208600000X
License
9700607 Issued in NC
Practice address
200 Hospital Ave
Suite 5
Jefferson, NC 28640-9244
Phone
(336) 246-7779
Fax
(336) 846-8370
NPI assigned
Sep 27, 2005
Sex
Male
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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Surgery Physician 208600000X 9700607 NC Primary

Addresses

Primary practice location

200 Hospital Ave
Suite 5
Jefferson, NC 28640-9244

Mailing address

PO Box 1509
200 Hospital Ave Suite 5
Jefferson, NC 28640-1509
Phone (336) 246-7779

Other identifiers 7

IdentifierTypeStateIssuer
208188753 0002OtherNCCIGNA HEALTHCARE
249899OtherNCANTHEM BC
891046LMedicaidNC
81528OtherNCMEDCOST
26782OtherNCPARTNERS
P00182199OtherNCRR MEDICARE
1046LOtherNCBCBS NC

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
I20070726000309 NC Practitioner - General SurgeryPractitioner - Vascular Surgery 2264533835 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
General Surgery
Education
Wake Forest University School of Medicine, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Charles W Jones MD PAGroup PAC ID 8426159096, 2 clinicians

Practice addresses (Care Compare)

200 Hospital Ave
Suite 5
Jefferson, NC 28640-9244
Phone (336) 246-7779

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
80.17 of 100Reported as group
Quality
67.28
Improvement activities
40
Cost
77.51

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy112
Hernia repair - groin (open)1-10
Hernia repair (minimally invasive)1-10
Mastectomy1-10
Upper gastrointestinal (GI) endoscopy for acid reflux119
Melanoma (skin cancer) excision19
Removal of tissue1-10
Removal of skin lesions25

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Charles W Jones MD PA Endoscopy Unit Current Accepting new patients
Charles W Jones MD PA Surgery CurrentSince Aug 1, 2006 Accepting new patients

Locations

200 Hospital Ave
Ste 5
Jefferson, NC 28640
Phone (336) 246-7779

200 Hospital Ave
Jefferson, NC 28640
Phone (336) 246-7101

Interoperability endpoints

  • Direct secure messaging: charlesw@drcwjones.ssdirect.aprima.com

Ownership & related parties

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Ashe Memorial Hospital IncJefferson, NC, CCN 34Z325 Hospital Corporate Officer (5%) Nov 21, 2008
Ashe Memorial Hospital IncJefferson, NC, CCN 341325 Hospital Corporate Officer (5%) Nov 21, 2008
Amh Mountain Family Care CenterJefferson, NC, CCN 343425 Rural health clinic Corporate Officer (5%) Nov 21, 1998

Owned or controlled facilities with NPI records 3

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 2

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 2

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": "1127779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1326035056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1509",
            "address_2": "200 HOSPITAL AVE SUITE 5",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286401509",
            "telephone_number": "336-246-7779",
            "fax_number": "336-846-8370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 HOSPITAL AVE",
            "address_2": "SUITE 5",
            "city": "JEFFERSON",
            "state": "NC",
            "postal_code": "286409244",
            "telephone_number": "336-246-7779",
            "fax_number": "336-846-8370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHARLES",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-09-27",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208600000X",
            "taxonomy_group": "",
            "desc": "Surgery",
            "state": "NC",
            "license": "9700607",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA HEALTHCARE",
            "identifier": "208188753 0002",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM BC",
            "identifier": "249899",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891046L",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDCOST",
            "identifier": "81528",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARTNERS",
            "identifier": "26782",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P00182199",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS NC",
            "identifier": "1046L",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jefferson, NC

Sources for this page

Verify at the official NPI Registry.