Individual provider Active NPI

Beverly Nicholas Jones, MD

  • Psychiatry Physician
  • Winston Salem, NC
National Provider Identifier
1801851506
Registry record updated Mar 16, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
93-00168 Issued in NC
Practice address
3111 Maplewood Ave
Suite 105
Winston Salem, NC 27103-3906
Phone
(336) 659-8817
Fax
(336) 659-7799
NPI assigned
Apr 18, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 16, 2023

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Psychiatry Physician 2084P0805X 93-00168 NC
Psychiatry Physician 2084P0800X 93-00168 NC Primary

Addresses

Primary practice location

3111 Maplewood Ave
Suite 105
Winston Salem, NC 27103-3906

Mailing address

3111 Maplewood Ave
Suite 105
Winston Salem, NC 27103-3906
Phone (336) 659-8817

Other identifiers 1

IdentifierTypeStateIssuer
8946779MedicaidNC

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address BJONES197133@DIRECT.NOVANTHEALTH.ORG

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20031216000436 NC Practitioner - Psychiatry 1052218229 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
University of North Carolina at Chapel Hill School of Medicine, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

100 Hospital Dr
Louisburg, NC 27549-2256
Phone (252) 436-4143

120 Charles Rollins Rd
Henderson, NC 27536-2882

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
93-00168NCMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Western Carolina Physician Practices LLC CurrentSince Jun 1, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC CurrentSince Oct 1, 2018 Accepting new patients
DLP Maria Parham Physician Practices LLC CurrentSince Oct 1, 2018 Accepting new patients
Caromont Medical Group Inc Psychiatry Current Accepting new patients
Vidant Medical Group LLC CurrentSince May 2, 2022 Accepting new patients
Caromont Medical Group Inc Psychiatry CurrentSince Mar 6, 2023 Accepting new patients
DLP Maria Parham Physician Practices, LLC Current Accepting new patients
Caromont Medical Group Inc CurrentSince Mar 6, 2023 Accepting new patients
DLP Western Carolina Physician Practices LLC CurrentSince Jun 1, 2023 Accepting new patients
Physicians Eldercare PA Past Accepting new patients

Locations

1212 Spruce St
Ste 201
Belmont, NC 28012
Phone (704) 825-3455

262 Leroy George Dr
Clyde, NC 28721
Phone (828) 452-8210

2525 Court Dr
Gastonia, NC 28054
Phone (704) 834-2662

1337 E Garrison Blvd
Gastonia, NC 28054
Phone (704) 671-5313

120 Charles Rollins Rd
Ste 105
Henderson, NC 27536
Phone (252) 438-2773

401 N Main St
Kenansville, NC 28349
Phone (910) 296-0941

100 Hospital Dr
Louisburg, NC 27549
Phone (252) 438-4143

250 Smith Church Rd
Roanoke Rapids, NC 27870
Phone (252) 308-9699

98 Doctors Dr
Ste 200
Sylva, NC 28779
Phone (828) 586-8971

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: bjones197133@direct.novanthealth.org
  • Direct secure messaging: beverly.jones.iii.1@20247.direct.athenahealth.com

Organizations & group practices 10

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1678924800000",
    "number": "1801851506",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3111 MAPLEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033906",
            "telephone_number": "336-659-8817",
            "fax_number": "336-659-7799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3111 MAPLEWOOD AVE",
            "address_2": "SUITE 105",
            "city": "WINSTON SALEM",
            "state": "NC",
            "postal_code": "271033906",
            "telephone_number": "336-659-8817",
            "fax_number": "336-659-7799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BEVERLY",
        "middle_name": "NICHOLAS",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2023-03-16",
        "certification_date": "2023-03-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2084P0805X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "93-00168",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "93-00168",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8946779",
            "state": "NC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "BJONES197133@DIRECT.NOVANTHEALTH.ORG",
            "affiliation": "N",
            "address_1": "3111 Maplewood Ave",
            "address_2": "Suite 105",
            "city": "Winston Salem",
            "state": "NC",
            "country_code": "US",
            "postal_code": "271033906",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Winston Salem, NC

Sources for this page

Verify at the official NPI Registry.