Individual provider Active NPI

Jennifer Byrd King, FNP - C

  • Family Nurse Practitioner
  • Elkin, NC
National Provider Identifier
1386925337
Registry record updated Mar 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
160461 Issued in NC
Practice address
180 Parkwood Dr
Elkin, NC 28621-2430
Phone
(336) 527-7000
NPI assigned
Sep 5, 2011
Last updated
Mar 2, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 2, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 160461 NC Primary

Addresses

Primary practice location

180 Parkwood Dr
Elkin, NC 28621-2430

Mailing address

180 Parkwood Dr
Elkin, NC 28621-2430
Phone (336) 527-7000

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
I20120220000432 NC Practitioner - Nurse Practitioner 3072771278 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

3369 Clingman Rd
Ronda, NC 28670-8708
Phone (336) 984-3003

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
160461NCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hugh Chatham Memorial Hospital, Inc CurrentSince Jun 1, 2019 Accepting new patients
Yadkin Emergency Physicians, PLLC CurrentSince Aug 1, 2018 Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Current Accepting new patients
Elkin Emergency Physicians, PLLC Past Accepting new patients
Hugh Chatham Memorial Hospital, Inc. Family Past Accepting new patients

Locations

911 E Atkins St
#D
Dobson, NC 27017
Phone (336) 374-1010

180 Parkwood Dr
Elkin, NC 28621
Phone (336) 527-7000

360 Parkwood Medical Park
Elkin, NC 28621
Phone (336) 527-5960

500 Chatham Medical Park
Elkin, NC 28621
Phone (336) 835-3136

600 Chatham Medical Park
Elkin, NC 28621
Phone (336) 527-7000

631 CC Camp Rd
Elkin, NC 28621
Phone (336) 366-1072

5229 Rock Creek Rd
Hays, NC 28635
Phone (336) 696-2711

546 Winston Rd
Jonesville, NC 28642
Phone (336) 526-0037

3369 Clingman Rd
Ronda, NC 28670
Phone (336) 984-3003

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jking@hcfme.gwaydirect.com

Organizations & group practices 5

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.

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": "1315180800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646179200000",
    "number": "1386925337",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 PARKWOOD DR",
            "city": "ELKIN",
            "state": "NC",
            "postal_code": "286212430",
            "telephone_number": "336-527-7000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KING",
        "first_name": "JENNIFER",
        "middle_name": "BYRD",
        "name_prefix": "Mrs.",
        "credential": "FNP - C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-09-05",
        "last_updated": "2022-03-02",
        "certification_date": "2022-03-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "160461",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Elkin, NC

Sources for this page

Verify at the official NPI Registry.