Individual provider Active NPI

Teshia Whitaker Jones, PA

  • Physician Assistant
  • Winston Salem, NC
National Provider Identifier
1346522281
Registry record updated Feb 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-03111 Issued in NC
Practice address
1255 Creekshire Way Ste 270
Winston Salem, NC 27103-3061
Phone
(336) 701-3111
Fax
(888) 757-4153
NPI assigned
Sep 16, 2011
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-03111 NC Primary

Addresses

Primary practice location

1255 Creekshire Way Ste 270
Winston Salem, NC 27103-3061

Mailing address

200 E 2ND Ave
Gastonia, NC 28052-4358
Phone (704) 874-1904

Other practice location 1

250 W Kings Hwy
Eden, NC 27288-5010
Phone (336) 864-2795

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
I20111019000040 NC Practitioner - Physician Assistant 2365614211 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Certus Psychiatry and Integrated Care PLLCGroup PAC ID 0244506756, 17 clinicians

Practice addresses (Care Compare)

1255 Creekshire Way
Suite 270
Winston Salem, NC 27103-3061
Phone (336) 701-3111

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
0010-03111NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Compassion Health Care Inc CurrentSince Apr 8, 2024 Accepting new patients
Compassion Health Care Inc CurrentSince Apr 8, 2024 Accepting new patients
Gaston Family Health Services Inc CurrentSince Mar 2, 2015 Accepting new patients
Gaston Family Health Services, Inc CurrentSince Mar 2, 2015 Accepting new patients
Caromont Medical Group Inc Past Accepting new patients
Ameri-Care Family Practice Past Accepting new patients

Locations

250 W Kings Hwy
Eden, NC 27288
Phone (336) 623-5171

991 W Hudson Blvd
Gastonia, NC 28052
Phone (704) 853-5000

200 E 2nd Ave
Gastonia, NC 28052
Phone (704) 874-1904

439 US Highway 158 W
Yanceyville, NC 27379
Phone (336) 694-9331

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/BHCADA

Organizations & group practices 9

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": "1316131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708560000000",
    "number": "1346522281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 E 2ND AVE",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280524358",
            "telephone_number": "704-874-1904",
            "fax_number": "704-867-2134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1255 CREEKSHIRE WAY STE 270",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033061",
            "telephone_number": "336-701-3111",
            "fax_number": "888-757-4153"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "250 W Kings Hwy",
            "address_purpose": "LOCATION",
            "city": "Eden",
            "state": "NC",
            "postal_code": "272885010",
            "country_code": "US",
            "telephone_number": "336-864-2795",
            "fax_number": "336-694-7511",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TESHIA",
        "middle_name": "WHITAKER",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-16",
        "last_updated": "2024-02-22",
        "certification_date": "2024-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-03111",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.