Active NPI
William Dennis Jones, P.A.
- Medical Physician Assistant
- Salisbury, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 50.008700RX
- Practice address
- 100 E Carroll St
Salisbury, MD 21801-5422 - Phone
- (410) 912-5666
- NPI assigned
- Dec 20, 2005
- Last updated
- Oct 30, 2024
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 6
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, OH
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 2
Care Compare profile
Medicare Care CompareMerit-based Incentive Payment System (MIPS)
- Final score
- 96.95 of 100
- Quality
- 82.44
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 102528 | NC | MD | Clinical Child & Adolescent Psychologist |
| 53332 | CA | MD | Marriage & Family Therapist |
| PA53332 | CA | MD | Surgical Physician Assistant |
| C0007564 | MD | MD | Surgical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Wake Forest University Health Sciences | Past | Accepting new patients | |
| Forsyth Emergency Services, P.a. | Past | 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
- wjones117916@direct.vidanthealth.com
- 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.
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
- Pain Medicine (Anesthesiology) Physician
- Huntersville, NC
- NPI 1912292335
-
- Orthopaedic Surgery Physician
- Miamisburg, OH
- NPI 1629387865
-
dba Vidant Endoscopy Center-Kinston
- Ambulatory Surgical Clinic/Center
- Kinston, NC
- NPI 1376049619
-
- Emergency Medicine Physician
- Winston Salem, NC
- NPI 1649256983
-
- Multi-Specialty Clinic/Center
- Winston Salem, NC
- NPI 1003803032
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.