Individual provider Active NPI

William Dennis Jones, P.A.

  • Medical Physician Assistant
  • Salisbury, MD
National Provider Identifier
1508842725
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
50.008700RX Issued in OH
Practice address
100 E Carroll St
Salisbury, MD 21801-5422
Phone
(410) 912-5666
NPI assigned
Dec 20, 2005
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA53332 CA
Physician Assistant 363A00000X 102528 NC
Medical Physician Assistant 363AM0700X 50.008700RX OH Primary
Surgical Physician Assistant 363AS0400X 102528 NC
Surgical Physician Assistant 363AS0400X PA53332 CA
Surgical Physician Assistant 363AS0400X C0007564 MD

Addresses

Primary practice location

100 E Carroll St
Salisbury, MD 21801-5422

Mailing address

100 E Carroll St
Salisbury, MD 21801-5422
Phone (410) 546-6400

Other practice location 1

185 Kimel Park Dr
Suite 210
Winston Salem, NC 27103-6973
Phone (336) 765-6637

Other practice location 2

255 N Herwaldt Dr
Fresno, CA 93701-2186
Phone (559) 459-7300

Other practice location 3

45 E River Park Pl W Ste 104
Fresno, CA 93720-1565
Phone (559) 320-0530

Other practice location 4

1639 Woodbrooke Dr
Salisbury, MD 21804-8502
Phone (410) 912-6330

Other practice location 5

2100 Stantonsburg Rd
Greenville, NC 27834-2818
Phone (252) 847-1550

Other practice location 6

3700 Southern Blvd Ste 300
Kettering, OH 45429-1265
Phone (937) 643-9299

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address wjones117916@direct.vidanthealth.com
FHIR URL https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/
Direct Messaging Address wjones916641@direct.ketteringhealth.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20080115000522 NC Practitioner - Physician Assistant 4082795109 Reassigns benefits to 2 organizations
I20240911003918 OH Practitioner - Physician Assistant 4082795109 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
96.95 of 100Reported as apm
Quality
82.44
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
102528NCMDClinical Child & Adolescent Psychologist
53332CAMDMarriage & Family Therapist
PA53332CAMDSurgical Physician Assistant
C0007564MDMDSurgical Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Vidant Medical Group LLC CurrentSince Oct 1, 2018 Accepting new patients
Vidant Medical Group LLC CurrentSince Oct 1, 2018 Accepting new patients
Wake Forest University Health Sciences Past Accepting new patients
Forsyth Emergency Services, P.a. PastSince Sep 1, 2019 Accepting new patients

Locations

2100 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 744-3229

2310 Stantonsburg Rd
Greenville, NC 27834
Phone (252) 847-6611

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

Interoperability endpoints

  • Direct secure messaging: wjones117916@direct.vidanthealth.com
  • Direct secure messaging: wjones916641@direct.ketteringhealth.org

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1135036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1508842725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-546-6400"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 E CARROLL ST",
            "city": "SALISBURY",
            "state": "MD",
            "postal_code": "218015422",
            "telephone_number": "410-912-5666"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "185 Kimel Park Dr",
            "address_2": "Suite 210",
            "address_purpose": "LOCATION",
            "city": "Winston Salem",
            "state": "NC",
            "postal_code": "271036973",
            "country_code": "US",
            "telephone_number": "336-765-6637",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "255 N Herwaldt Dr",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937012186",
            "country_code": "US",
            "telephone_number": "559-459-7300",
            "fax_number": "559-459-3750",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "45 E River Park Pl W Ste 104",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937201565",
            "country_code": "US",
            "telephone_number": "559-320-0530",
            "fax_number": "559-320-0532",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1639 Woodbrooke Dr",
            "address_purpose": "LOCATION",
            "city": "Salisbury",
            "state": "MD",
            "postal_code": "218048502",
            "country_code": "US",
            "telephone_number": "410-912-6330",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2100 Stantonsburg Rd",
            "address_purpose": "LOCATION",
            "city": "Greenville",
            "state": "NC",
            "postal_code": "278342818",
            "country_code": "US",
            "telephone_number": "252-847-1550",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3700 Southern Blvd Ste 300",
            "address_purpose": "LOCATION",
            "city": "Kettering",
            "state": "OH",
            "postal_code": "454291265",
            "country_code": "US",
            "telephone_number": "937-643-9299",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "DENNIS",
        "credential": "P.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-20",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "CA",
            "license": "PA53332",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "102528",
            "primary": false
        },
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "OH",
            "license": "50.008700RX",
            "primary": true
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "NC",
            "license": "102528",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "CA",
            "license": "PA53332",
            "primary": false
        },
        {
            "code": "363AS0400X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Surgical",
            "state": "MD",
            "license": "C0007564",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wjones117916@direct.vidanthealth.com",
            "affiliation": "N",
            "address_1": "2100 Stantonsburg Rd",
            "city": "Greenville",
            "state": "NC",
            "country_code": "US",
            "postal_code": "278342818",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "FHIR",
            "endpointTypeDescription": "FHIR URL",
            "endpoint": "https:/khnarr.ketthealth.com/FHIR-PROD/api/FHIR/R4/",
            "affiliation": "N",
            "address_1": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "wjones916641@direct.ketteringhealth.org",
            "affiliation": "N",
            "address_1": "3700 Southern Blvd Ste 300",
            "city": "Kettering",
            "state": "OH",
            "country_code": "US",
            "postal_code": "454291265",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Salisbury, MD

Sources for this page

Verify at the official NPI Registry.