Organization Active NPI

Jackiestonellc

  • Gynecology Physician
  • Greenville, NC
National Provider Identifier
1669396263
Registry record updated Aug 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gynecology PhysicianTaxonomy code 207VG0400X
Legal business name
JACKIESTONELLC
Practice address
2120 E Fire Tower Rd Ste 107-1070
Greenville, NC 27858-9284
Phone
(256) 280-7922
NPI assigned
Aug 6, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2026

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

Authorized official

Name
Dr. Jacquelyn Amber Stone, MD
Title
President
Phone
(256) 280-7922

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Gynecology PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 207VG0400X Primary
Obesity Medicine (Preventive Medicine) PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 2083B0002X

Addresses

Primary practice location

2120 E Fire Tower Rd Ste 107-1070
Greenville, NC 27858-9284

Mailing address

3904 Cantata Dr
Greenville, NC 27858-5328
Phone (256) 280-7922

National Provider Directory

National Provider Directory

Locations

2120 E Fire Tower Rd
Ste 1071070
Greenville, NC 27858

NPI Registry JSON

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

{
    "created_epoch": "1785974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785974400000",
    "number": "1669396263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3904 CANTATA DR",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278585328",
            "telephone_number": "256-280-7922"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2120 E FIRE TOWER RD STE 107-1070",
            "city": "GREENVILLE",
            "state": "NC",
            "postal_code": "278589284",
            "telephone_number": "256-280-7922"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JACKIESTONELLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-06",
        "last_updated": "2026-08-06",
        "certification_date": "2026-08-06",
        "status": "A",
        "authorized_official_last_name": "STONE",
        "authorized_official_first_name": "JACQUELYN",
        "authorized_official_middle_name": "AMBER",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "256-280-7922",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207VG0400X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Obstetrics & Gynecology, Gynecology",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2083B0002X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Preventive Medicine, Obesity Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.