Individual provider Active NPI

Stephen David Jones, NP

  • Psychiatric/Mental Health Nurse Practitioner
  • Fayetteville, NC
National Provider Identifier
1720322688
Registry record updated Jun 13, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
5009320 Issued in NC
Practice address
2350 Bentridge LN
Fayetteville, NC 28304-0590
Phone
(109) 784-0261
Fax
(910) 938-1118
NPI assigned
Nov 16, 2012
Last updated
Jun 13, 2023By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 13, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 5009320 NC Primary

Addresses

Primary practice location

2350 Bentridge LN
Fayetteville, NC 28304-0590

Mailing address

2350 Bentridge LN
Fayetteville, NC 28304-0590
Phone (109) 784-0261

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
I20170505001466 NC Practitioner - Nurse Practitioner 5991082679 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Uniformed Services Uhs Fe Hebert School of Med, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

2350 Bentridge LN
Suite 301a
Fayetteville, NC 28304-0590
Phone (910) 748-0261

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Carolina Neuropsychiatric Center, PA CurrentSince May 1, 2017 Accepting new patients
Living Well Behavioral Health Inc Current Accepting new patients
Living Well Behavioral Health, Inc. CurrentSince Jun 1, 2022 Accepting new patients
Inspiring Change PLLC CurrentSince Mar 12, 2024 Accepting new patients
Acceptance Pathway Psychiatry PLLC Psychiatric/Mental Health PastSince Mar 12, 2024 Accepting new patients

Locations

1200 Fairmont Ct
Fayetteville, NC 28304
Phone (910) 429-1114

2350 Bentridge Ln
Ste 301A
Fayetteville, NC 28304
Phone (910) 748-0261

951 S McPherson Church Rd
Fayetteville, NC 28303
Phone (910) 849-3399

951 S McPherson Church Rd
Ste 105
Fayetteville, NC 28303
Phone (910) 273-1393

200 Tarpon Trl
Jacksonville, NC 28546
Phone 9109381114139

502 McKnight Dr
Ste 201202
Knightdale, NC 27545
Phone (919) 803-2111

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": "1353024000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686614400000",
    "number": "1720322688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2350 BENTRIDGE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040590",
            "telephone_number": "109-784-0261",
            "fax_number": "910-938-1118"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2350 BENTRIDGE LN",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283040590",
            "telephone_number": "109-784-0261",
            "fax_number": "910-938-1118"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "STEPHEN",
        "middle_name": "DAVID",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2012-11-16",
        "last_updated": "2023-06-13",
        "certification_date": "2023-06-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "NC",
            "license": "5009320",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, NC

Sources for this page

Verify at the official NPI Registry.