Individual provider Active NPI

Casey Nicholas Jones, PA

  • Physician Assistant
  • Charlotte, NC
National Provider Identifier
1548803943
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
0010-10257 Issued in NC
Practice address
11530 Providence Rd Ste 1300
Charlotte, NC 28277-2691
Phone
(704) 863-4878
NPI assigned
Oct 18, 2019
Last updated
Apr 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 0010-10257 NC Primary
Student in an Organized Health Care Education/Training Program 390200000X NU

Addresses

Primary practice location

11530 Providence Rd Ste 1300
Charlotte, NC 28277-2691

Mailing address

PO Box 60447
Charlotte, NC 28260-0447

Other practice location 1

6499 Higginsville Rd
Durhamville, NY 13054-3179
Phone (315) 256-8459

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address cjones817078@direct.novanthealth.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
I20200731002621 NC Practitioner - Physician Assistant 6800211293 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Carolinas Physicians Network IncGroup PAC ID 3375449655, 2,324 clinicians

Practice addresses (Care Compare)

11530 Providence Rd
Charlotte, NC 28277-2691

14214 Ballantyne Lake Rd
Charlotte, NC 28277-3373

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
94 of 100Reported as apm
Quality
81.63
Promoting interoperability
100
Improvement activities
40

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Carolinas Physicians Network Inc CurrentSince Jun 9, 2025 Accepting new patients
Carolinas Physicians Network Inc CurrentSince Jun 9, 2025 Accepting new patients
Carolinas Physicians Network, Inc Past Accepting new patients
Rex Hospital Inc Past Accepting new patients

Locations

11530 Providence Rd
Ste 1300
Charlotte, NC 28277
Phone (704) 667-0780

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

Interoperability endpoints

  • Direct secure messaging: cjones2956106@carolinashealthcaresystem.direct-ci.com

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": "1571356800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1548803943",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60447",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282600447"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11530 PROVIDENCE RD STE 1300",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282772691",
            "telephone_number": "704-863-4878"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6499 Higginsville Rd",
            "address_purpose": "LOCATION",
            "city": "Durhamville",
            "state": "NY",
            "postal_code": "130543179",
            "country_code": "US",
            "telephone_number": "315-256-8459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CASEY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Mr.",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-10-18",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-10257",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "cjones817078@direct.novanthealth.org",
            "affiliation": "N",
            "address_1": "6499 Higginsville Rd",
            "city": "Durhamville",
            "state": "NY",
            "country_code": "US",
            "postal_code": "130543179",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

Verify at the official NPI Registry.