Active NPI
Beverly Nicholas Jones, MD
- Psychiatry Physician
- Winston Salem, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- 93-00168
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 8946779 | Medicaid | NC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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
Enrollment records 1
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
| License | State | Type | Specialty |
|---|---|---|---|
| 93-00168 | NC | MD | Psychiatry Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| DLP Western Carolina Physician Practices LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| DLP Maria Parham Physician Practices LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Psychiatry | Current | Accepting new patients |
| Vidant Medical Group LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Psychiatry | Current | Accepting new patients |
| DLP Maria Parham Physician Practices, LLC | Current | Accepting new patients | |
| Caromont Medical Group Inc | Current | Accepting new patients | |
| DLP Western Carolina Physician Practices LLC | Current | 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
- https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
- bjones197133@direct.novanthealth.org
- 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.
-
dba Maria Parham Primary Care
- Family Medicine Physician
- Henderson, NC
- NPI 1215273628
-
- Internal Medicine Physician
- Sylva, NC
- NPI 1609281641
-
- Multi-Specialty Clinic/Center
- Greenville, NC
- NPI 1477648731
-
dba CaroMont Psychiatric Associates
- Psychiatry Physician
- Gastonia, NC
- NPI 1629197744
-
- Family Medicine Physician
- Stanley, NC
- NPI 1972301380
-
- Rural Health Clinic/Center
- Henderson, NC
- NPI 1578256749
-
dba Maria Parham Pain Solutions
- Physical Medicine & Rehabilitation Physician
- Henderson, NC
- NPI 1730466475
-
- Diagnostic Radiology Physician
- Clyde, NC
- NPI 1932925062
-
- General Practice Physician
- Durham, NC
- NPI 1023083268
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Maria Parham Medical Center
- General Acute Care Hospital
- Henderson, NC
- NPI 1164707725
-
dba Maria Parham Franklin
- Psychiatric Hospital Unit
- Louisburg, NC
- NPI 1689166605
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.