Active NPI
Autumn Sharie Jones, PA-C, RD
- Medical Physician Assistant
- High Point, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 0010-01507
- Practice address
- 4515 Premier Drive
Suite 401
High Point, NC 27265-8350 - Phone
- (336) 802-2240
- Fax
- (336) 802-2241
- NPI assigned
- Jan 31, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | 940096 | IN | |
| Medical Physician Assistant | 363AM0700X | 0010-01507 | NC | Primary |
Addresses
Primary practice location
4515 Premier Drive
Suite 401
High Point, NC 27265-8350
Mailing address
1701 Westchester Drive
Suite 850
High Point, NC 27262-7254
Phone (336) 802-2400
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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Other, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4515 Premier Dr
High Point, NC 27265-8356
770 Highland Oaks Dr
Winston Salem, NC 27103-7105
Phone (336) 765-5250
905 Phillips Ave
High Point, NC 27262-7075
Phone (336) 802-2040
Medical Ctr Blvd
Winston Salem, NC 27157-0001
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 940096 | IN | MD | Registered Dietitian |
| 0010-01507 | NC | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wake Forest Health Network, LLC | Current | Accepting new patients | |
| Cornerstone Health Care PA | Current | Accepting new patients | |
| Cornerstone Health Care PA | Past | Accepting new patients |
Locations
810 N Lindsay St
High Point, NC 27262
Phone (336) 802-2060
4515 Premier Dr
Ste 401
High Point, NC 27265
Phone (336) 802-2240
1701 Westchester Dr
Ste 850
High Point, NC 27262
Phone (336) 802-2400
905 Phillips Ave
High Point, NC 27262
Phone (336) 802-2040
Organizations & group practices 4
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.
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1477785756
-
- Cardiovascular Disease Physician
- Lexington, NC
- NPI 1952746000
-
- Pediatrics Physician
- Greensboro, NC
- NPI 1053175299
-
- Cardiovascular Disease Physician
- Statesville, NC
- NPI 1275914046
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Psychiatric Hospital Unit
- Winston Salem, NC
- NPI 1063480531
-
- Rehabilitation Hospital Unit
- Winston Salem, NC
- NPI 1114995677
-
- General Acute Care Hospital
- Winston Salem, NC
- NPI 1144211301
-
- Clinical Medical Laboratory
- Winston Salem, NC
- NPI 1609162098
Hospital
-
- Pediatric Adolescent Medicine Physician
- Winston Salem, NC
- NPI 1912179219
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1138665600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1263859200000",
"number": "1639140361",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1701 WESTCHESTER DRIVE",
"address_2": "SUITE 850",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272627254",
"telephone_number": "336-802-2400",
"fax_number": "336-802-2001"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4515 PREMIER DRIVE",
"address_2": "SUITE 401",
"city": "HIGH POINT",
"state": "NC",
"postal_code": "272658350",
"telephone_number": "336-802-2240",
"fax_number": "336-802-2241"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "AUTUMN",
"middle_name": "SHARIE",
"credential": "PA-C, RD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-01-31",
"last_updated": "2010-01-19",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "IN",
"license": "940096",
"primary": false
},
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "NC",
"license": "0010-01507",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in High Point, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 19, 2010; 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.