Individual provider Active NPI

Kathleen Jones, PA

  • Physician Assistant
  • Wilmington, NC
National Provider Identifier
1447286729
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-02769 Issued in NC
Practice address
1415 Physicians Dr
Wilmington, NC 28401-7338
Phone
(910) 662-9500
Fax
(910) 662-9501
NPI assigned
Jun 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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 0010-02769 NC Primary

Addresses

Primary practice location

1415 Physicians Dr
Wilmington, NC 28401-7338

Mailing address

PO Box 936857
Atlanta, GA 31193-6857

Other practice location 1

584 Hospital Dr NE
Unit E
Bolivia, NC 28422-0019
Phone (910) 754-5453

Other practice location 2

2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 662-9500

Other practice location 3

800 Jefferson St
Ste 112
Whiteville, NC 28472-3710
Phone (910) 642-8164

Other practice location 4

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

Electronic endpoints 2

TypeEndpointUseAffiliation
Direct Messaging Address khealey205191@direct.novanthealth.org
Direct Messaging Address khealey76509@direct.nhrmc.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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110427000550 NC Practitioner - Physician Assistant 4880697820 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2006
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices

Practice addresses (Care Compare)

1411 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 343-0811

1415 Physicians Dr
Wilmington, NC 28401-7338
Phone (910) 662-9500

1960 S 16TH St
Wilmington, NC 28401-6676
Phone (910) 662-6000

2000 Brabham Ave
Jacksonville, NC 28546-0201
Phone (910) 376-3030

2131 S 17TH St
Wilmington, NC 28401-7407
Phone (910) 667-5105

231 S 17TH St
Wilmington, NE 28401-7407
Phone (910) 667-5105

800 Jefferson St
Suite 112
Whiteville, NC 28472-3702
Phone (910) 662-9500

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0010-02769NCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 27, 2025 Accepting new patients
Novant Health Medical Group Coastal Region, LLC CurrentSince May 1, 2021 Accepting new patients
Novant Health New Hanover Regional Medical Center LLC CurrentSince Jan 27, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 23, 2013 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Apr 23, 2013 Accepting new patients
NMG Health Services LLC CurrentSince May 1, 2021 Accepting new patients
Steward Medical Group, Inc Past Accepting new patients
Steward Medical Group, Inc PastSince Nov 6, 2010 Accepting new patients
Caritas Medical Group, Inc. Past Accepting new patients

Locations

584 Hospital Dr NE
Unit E
Bolivia, NC 28422
Phone (910) 754-5453

14214 Ballantyne Lake Rd
Ste 100
Charlotte, NC 28277
Phone (704) 667-2650

2000 Brabham Ave
Jacksonville, NC 28546
Phone (910) 662-8765

800 Jefferson St
Ste 112
Whiteville, NC 28472
Phone (910) 642-8164

1415 Physicians Dr
Wilmington, NC 28401
Phone (910) 251-3766

105 Scotts Hill Medical Dr
Wilmington, NC 28411
Phone (910) 686-2840

Interoperability endpoints

  • Direct secure messaging: khealey205191@direct.novanthealth.org

Organizations & group practices 11

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": "1151193600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1447286729",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 936857",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "311936857"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1415 PHYSICIANS DR",
            "city": "WILMINGTON",
            "state": "NC",
            "postal_code": "284017338",
            "telephone_number": "910-662-9500",
            "fax_number": "910-662-9501"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "584 Hospital Dr NE",
            "address_2": "Unit E",
            "address_purpose": "LOCATION",
            "city": "Bolivia",
            "state": "NC",
            "postal_code": "284220019",
            "country_code": "US",
            "telephone_number": "910-754-5453",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2000 Brabham Ave",
            "address_purpose": "LOCATION",
            "city": "Jacksonville",
            "state": "NC",
            "postal_code": "285460201",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "address_purpose": "LOCATION",
            "city": "Whiteville",
            "state": "NC",
            "postal_code": "284723710",
            "country_code": "US",
            "telephone_number": "910-642-8164",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1415 Physicians Dr",
            "address_purpose": "LOCATION",
            "city": "Wilmington",
            "state": "NC",
            "postal_code": "284017338",
            "country_code": "US",
            "telephone_number": "910-662-9500",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KATHLEEN",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-25",
        "last_updated": "2021-05-26",
        "certification_date": "2020-09-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-02769",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khealey205191@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "800 Jefferson St",
            "address_2": "Ste 112",
            "city": "Whiteville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284723710",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "khealey76509@direct.nhrmc.org",
            "affiliation": "N",
            "address_1": "1415 Physicians Dr",
            "city": "Wilmington",
            "state": "NC",
            "country_code": "US",
            "postal_code": "284017338",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Wilmington, NC

Sources for this page

Verify at the official NPI Registry.