Individual provider Active NPI

Jamie Morgan Blackwelder, ENP

  • Nurse Practitioner
  • King, NC
National Provider Identifier
1679542575
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
700003 Issued in NC
Practice address
J R Jones Medical Center
402 West King St
King, NC 27021
Phone
(336) 983-9617
Fax
(336) 983-9791
NPI assigned
Mar 15, 2006
Last updated
Jul 13, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X 700003 NC Primary

Addresses

Primary practice location

J R Jones Medical Center
402 West King St
King, NC 27021

Mailing address

1140 Jamie LN
Germanton, NC 27019-9157
Phone (336) 994-4005

Other names 1

  • Jamie Thomas Morgan Former name

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
I20080508000781 NC Practitioner - Nurse Practitioner 6709965296 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
700003NCMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Jan 30, 2017 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients
Lifebrite Hospital Group of Stokes, LLC CurrentSince Jan 30, 2017 Accepting new patients
Lifebrite Hospital Group of Stokes, LLC Current Accepting new patients

Locations

1030 Hospice Dr
Danbury, NC 27016
Phone (336) 593-5354

1570 NC 8 and 89 Hwy N
Danbury, NC 27016
Phone (336) 593-2831

402 W King St
King, NC 27021
Phone (336) 529-4304

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, 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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1679542575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1140 JAMIE LN",
            "city": "GERMANTON",
            "state": "NC",
            "postal_code": "270199157",
            "telephone_number": "336-994-4005"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "J R JONES MEDICAL CENTER",
            "address_2": "402 WEST KING ST",
            "city": "KING",
            "state": "NC",
            "postal_code": "27021",
            "telephone_number": "336-983-9617",
            "fax_number": "336-983-9791"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELDER",
        "first_name": "JAMIE",
        "middle_name": "MORGAN",
        "name_prefix": "Mrs.",
        "credential": "ENP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-03-15",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "700003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JAMIE",
            "last_name": "MORGAN",
            "middle_name": "THOMAS",
            "credential": "ENP",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in King, NC

Sources for this page

Verify at the official NPI Registry.