Individual provider Active NPI

Timothy Lee Jones, FNP-BC

  • Family Nurse Practitioner
  • Piedmont, SC
National Provider Identifier
1487726279
Registry record updated Sep 19, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
29216 Issued in SC
Practice address
115 Beattie Park Rd
Piedmont, SC 29673-1410
Phone
(864) 845-3331
Fax
(864) 845-3152
NPI assigned
Nov 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 19, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 29216 SC Primary
Nurse Practitioner 363L00000X 29216 SC

Addresses

Primary practice location

115 Beattie Park Rd
Piedmont, SC 29673-1410

Mailing address

115 Beattie Park Rd
Piedmont, SC 29673-1410
Phone (864) 845-3331

Other practice location 1

1275 S Main St
Greensburg, PA 15601-5385
Phone (724) 638-4533

Other practice location 2

17 N Main St
Advanced Wellness Center
Marlboro, NJ 07746-1439
Phone (732) 431-2155

Other identifiers 2

IdentifierTypeStateIssuer
RN749145OtherPASTATE LICENSE
3378614MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA
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
I20211202003118 PA Practitioner - Nurse Practitioner 4183769516 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
92.08 of 100Reported as group
Quality
76.5
Promoting interoperability
97
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
18809CAMDChiropractor
29216SCMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Pain and Spine Specialists of Maryland, LLC CurrentSince Aug 27, 2021 Accepting new patients
Windber Hospital, Inc. Past Accepting new patients
Morristown Pain Consultants PastSince Nov 8, 2018 Accepting new patients

Locations

2702 Back Acre Cir
Ste 290B
Mount Airy, MD 21771
Phone (301) 760-3317

100 Emerson Ln
Ste 1507
Bridgeville, PA 15017
Phone (412) 506-0334

2614 Memorial Blvd
Ste A
Connellsville, PA 15425
Phone (724) 638-4537

514 Pellis Rd
Greensburg, PA 15601
Phone (724) 858-4662

1275 S Main St
Greensburg, PA 15601
Phone (412) 838-1008

Interoperability endpoints

  • Direct secure messaging: timothy.jones.1@17492.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/11878/brand/3/csg/1/fhir/r4
  • Direct secure messaging: timothy.jones.2@11878.direct.athenahealth.com
  • Direct secure messaging: timothy.jones.1@32578.direct.athenahealth.com
  • Direct secure messaging: timothy.jones.1@11878.direct.athenahealth.com

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163548800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1758240000000",
    "number": "1487726279",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 BEATTIE PARK RD",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296731410",
            "telephone_number": "864-845-3331",
            "fax_number": "864-845-3152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 BEATTIE PARK RD",
            "city": "PIEDMONT",
            "state": "SC",
            "postal_code": "296731410",
            "telephone_number": "864-845-3331",
            "fax_number": "864-845-3152"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1275 S Main St",
            "address_purpose": "LOCATION",
            "city": "Greensburg",
            "state": "PA",
            "postal_code": "156015385",
            "country_code": "US",
            "telephone_number": "724-638-4533",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "17 N Main St",
            "address_2": "Advanced Wellness Center",
            "address_purpose": "LOCATION",
            "city": "Marlboro",
            "state": "NJ",
            "postal_code": "077461439",
            "country_code": "US",
            "telephone_number": "732-431-2155",
            "fax_number": "732-431-2889",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TIMOTHY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-15",
        "last_updated": "2025-09-19",
        "certification_date": "2025-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "29216",
            "primary": true
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "SC",
            "license": "29216",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "RN749145",
            "state": "PA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3378614",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Piedmont, SC

Sources for this page

Verify at the official NPI Registry.