Jonathan Mark Adams
Individual provider Active NPI Physician Assistant · Clemmons, NC
NPI 1356720163 · NPPES record last updated Aug 7, 2024
Key facts
- NPI
- 1356720163
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physician Assistant 363A00000X
- License
- 0010-05811 (NC)
- Practice address
- 7210 Village Medical Cir Ste 110
Clemmons, NC 27012-8041 - Phone
- (336) 893-2400
- NPI assigned
- May 26, 2015
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 18
Hospital & facility affiliations 1
Medicare Care Compare profile
- 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
- Novant Health Forsyth Medical Center
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in NC
- Eligible to order & refer
- Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20151016000436 | NC | Practitioner - Physician Assistant | 3678882529 | Reassigns benefits to 2 organizations |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Current |
Accepting new patients | |
| Novant Medical Group, Inc. | Current |
Accepting new patients | |
| Novant Health Medical Group, LLC | 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
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 0010-05811 | NC | Yes |
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | JADAMS252170@DIRECT.NOVANTHEALTH.ORG |
Other providers in Clemmons, NC
- Christopher F Abernethy
- Accordius Health at Clemmons, LLC
- Angela Acevedo
- Achieving Changes Counseling Services, PLLC
- Ae Eyecare
- Lauren Agner
- Cory Wade Akers
- Alder Grove Counseling Collaborative, PLLC
- Yasmine Kahok Alimena
All providers in Clemmons, NC · Physician Assistant in North Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 7, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Order and Referring (CMS).
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.