Individual provider Active NPI

Patricia Kirkley Jones, DNP-FNP-BC

  • Family Nurse Practitioner
  • Rock Hill, SC
National Provider Identifier
1679071542
Registry record updated Mar 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
21669 Issued in SC
Practice address
455 Lakeshore Parkway
Rock Hill, SC 29730-4205
Phone
(803) 909-6363
NPI assigned
Jan 25, 2018
Last updated
Mar 27, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 27, 2025

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

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 21667 SC
Family Nurse Practitioner 363LF0000X 5013942 NC
Family Nurse Practitioner 363LF0000X 21669 SC Primary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5013942 NC
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 21669 SC

Addresses

Primary practice location

455 Lakeshore Parkway
Rock Hill, SC 29730-4205

Mailing address

455 Lakeshore Parkway
Rock Hill, SC 29730-4205
Phone (803) 246-8414

Other identifiers 3

IdentifierTypeStateIssuer
3471421101MedicaidSC
NP5334MedicaidSC
451323MedicaidNC

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC
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
I20180430000288 SC Practitioner - Nurse Practitioner 2860756814 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
5013942NCMDPsychiatric/Mental Health Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Carolina Urgent & Family Care CurrentSince Dec 21, 2023 Accepting new patients
Carolina Urgent & Family Care CurrentSince Dec 21, 2023 Accepting new patients
Affinity Health Center CurrentSince Feb 5, 2024 Accepting new patients
Affinity Health Center CurrentSince Feb 5, 2024 Accepting new patients
Carolinas Medical Center-Northeast Past Accepting new patients

Locations

1133 Highway 9 Byp W
#B
Lancaster, SC 29720
Phone (803) 283-8442

455 Lakeshore Pkwy
Rock Hill, SC 29730
Phone (803) 909-6363

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/7423/brand/1/csg/1/fhir/r4
  • Direct secure messaging: pjones3043852@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.

NPI Registry JSON

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

{
    "created_epoch": "1516838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1743033600000",
    "number": "1679071542",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PARKWAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-246-8414"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "455 LAKESHORE PARKWAY",
            "city": "ROCK HILL",
            "state": "SC",
            "postal_code": "297304205",
            "telephone_number": "803-909-6363"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PATRICIA",
        "middle_name": "KIRKLEY",
        "credential": "DNP-FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-01-25",
        "last_updated": "2025-03-27",
        "certification_date": "2022-01-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21667",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "NC",
            "license": "5013942",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "SC",
            "license": "21669",
            "primary": true
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5013942",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "SC",
            "license": "21669",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3471421101",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "NP5334",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "451323",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rock Hill, SC

Sources for this page

Verify at the official NPI Registry.