Individual provider Active NPI

Courtney Bailey Jones, AGACNP-BC

  • Acute Care Nurse Practitioner
  • Charlotte Court House, VA
National Provider Identifier
1487270450
Registry record updated Aug 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Acute Care Nurse PractitionerTaxonomy code 363LA2100X
License
0024179538 Issued in VA
Practice address
165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone
(434) 542-5560
NPI assigned
Jun 24, 2020
Last updated
Aug 22, 2024By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Acute Care Nurse Practitioner 363LA2100X 0024179538 VA Primary

Addresses

Primary practice location

165 Legrande Ave
Charlotte Court House, VA 23923-3747

Mailing address

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20201119001078 VA Practitioner - Nurse Practitioner 6204247422 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

165 Legrande Ave
Charlotte Court House, VA 23923-3747
Phone (434) 542-5560

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
0024179538VAMDAcute Care Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Central Virginia Health Services Inc CurrentSince Sep 1, 2024 Accepting new patients
Central Virginia Health Services Inc Current Accepting new patients
MCV Associated Physicians CurrentSince Aug 21, 2022 Accepting new patients
Southeastern Intensivist Services PC CurrentSince Dec 1, 2020 Accepting new patients
Central Virginia Health Services Inc CurrentSince Sep 1, 2024 Accepting new patients

Locations

25892 N James Madison Hwy
New Canton, VA 23123
Phone (434) 581-3271

1401 Johnston Willis Dr
North Chesterfield, VA 23235
Phone (804) 327-4046

1213 E Clay St
Richmond, VA 23298
Phone (804) 827-1207

401 N 11th St
Richmond, VA 23219
Phone (804) 828-4409

7101 Jahnke Rd
Richmond, VA 23225
Phone (804) 323-1088

7101 Jahnke Rd
Ofc
Richmond, VA 23225

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 1

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": "1592956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1487270450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "165 LEGRANDE AVE",
            "city": "CHARLOTTE COURT HOUSE",
            "state": "VA",
            "postal_code": "239233747",
            "telephone_number": "434-542-5560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "165 LEGRANDE AVE",
            "city": "CHARLOTTE COURT HOUSE",
            "state": "VA",
            "postal_code": "239233747",
            "telephone_number": "434-542-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "COURTNEY",
        "middle_name": "BAILEY",
        "name_prefix": "Mr.",
        "credential": "AGACNP-BC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-06-24",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2100X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Acute Care",
            "state": "VA",
            "license": "0024179538",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte Court House, VA

Sources for this page

Verify at the official NPI Registry.