Active NPI
Jonathan Mark Adams
- Physician Assistant
- Clemmons, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 0010-05811
- Practice address
- 7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8041 - Phone
- (336) 893-2400
- NPI assigned
- May 26, 2015
- Last updated
- Aug 7, 2024
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05811 | NC | Primary |
| Surgical Physician Assistant | 363AS0400X |
Addresses
Primary practice location
7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8041
Mailing address
PO Box 60447
Charlotte, NC 28260-0447
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JADAMS252170@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, 2015
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Novant Health Medical Group, LLC
Practice addresses (Care Compare)
2825 Lyndhurst Ave
Winston Salem, NC 27103-4146
3333 Silas Creek Pkwy
Winston Salem, NC 27103-3013
Phone (336) 277-1717
3333 Silas Pkwy
Winston-Salem, NC 27103-3013
3641 Westgate Ctr Cir
Suite a
Winston Salem, NC 27103-4146
Phone (704) 384-8200
6915 Village Medical Cir
Clemmons, NC 27012-8002
Phone (336) 718-7080
7210 Village Medical Cir
Clemmons, NC 27012-8029
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0010-05811 | NC | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Medical Group, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Past | Accepting new patients |
Locations
7210 Village Medical Cir
Ste 110
Clemmons, NC 27012
Phone (336) 893-2400
16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725
144 Forest Hill Rd
Ste 144146
Lexington, NC 27295
Phone (336) 481-1730
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
211 Old Lexington Rd
Thomasville, NC 27360
Phone (336) 472-1191
2825 Lyndhurst Ave
Ste 101
Winston Salem, NC 27103
Phone (336) 277-6300
Interoperability endpoints
- jadams252170@direct.novanthealth.org
Organizations & group practices 6
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 Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
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
- Charlotte, NC
- NPI 1174202170
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Primary Care Mint Hill
- Family Medicine Physician
- Charlotte, NC
- NPI 1912480369
-
dba Novant Health Dermatology
- Dermatology Physician
- Charlotte, NC
- NPI 1205481009
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Novant Health Forsyth Medical Center
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1447200233
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432598400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722988800000",
"number": "1356720163",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 60447",
"city": "CHARLOTTE",
"state": "NC",
"postal_code": "282600447"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7210 VILLAGE MEDICAL CIR STE 110",
"city": "CLEMMONS",
"state": "NC",
"postal_code": "270128041",
"telephone_number": "336-893-2400"
}
],
"practiceLocations": [],
"basic": {
"last_name": "ADAMS",
"first_name": "JONATHAN",
"middle_name": "MARK",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2015-05-26",
"last_updated": "2024-08-07",
"certification_date": "2024-08-07",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "NC",
"license": "0010-05811",
"primary": true
},
{
"code": "363AS0400X",
"taxonomy_group": "",
"desc": "Physician Assistant, Surgical",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "JADAMS252170@DIRECT.NOVANTHEALTH.ORG",
"affiliation": "N",
"address_1": "211 Old Lexington Rd",
"city": "Thomasville",
"state": "NC",
"country_code": "US",
"postal_code": "273603428",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Clemmons, NC
- Christopher F Abernethy, PHARMD
- Accordius Health at Clemmons, LLC (Cedar Hills Center for Nursing and Rehabilitation)
- Angela Acevedo, PA
- Achieving Changes Counseling Services, PLLC
- Ae Eyecare (Towncenter Vision)
- Lauren Agner, NP
- Cory Wade Akers
- Alder Grove Counseling Collaborative, PLLC
- Yasmine Kahok Alimena, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 7, 2024; 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.