Active NPI
Beth Ann Jayne, MD
- Internal Medicine Physician
- Watertown, NY
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Internal Medicine Physician
- License
- 307832
- Practice address
- 238 Arsenal St
Watertown, NY 13601-2504 - Phone
- (315) 782-9450
- Fax
- (315) 782-2643
- NPI assigned
- Aug 17, 2006
- Last updated
- Feb 23, 2021
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | 307832 | NY | Primary |
| Pediatrics Physician | 208000000X | 307832 | NY |
Addresses
Primary practice location
238 Arsenal St
Watertown, NY 13601-2504
Mailing address
238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 891356Y | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in NC, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- State University of Ny Upstate Medical University, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
238 Arsenal St
Watertown, NY 13601-2504
Phone (315) 782-9450
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 307832 | NY | MD | Adult Health Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Novant Health Medical Group, LLC | Internal Medicine | Current | Accepting new patients |
| North Country Family Health Center, Inc. | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Current | Accepting new patients | |
| North Country Family Health Center, Inc. | Current | Accepting new patients | |
| Novant Medical Group Inc | Current | Accepting new patients | |
| Novant Health Medical Group, LLC | Internal Medicine | Past | Accepting new patients |
Locations
14330 Oakhill Park Ln
Ste 115
Huntersville, NC 28078
Phone (704) 316-1265
16525 Holly Crest Ln
Ste 150
Huntersville, NC 28078
Phone (704) 384-1725
17220 Northcross Dr
Ste 110
Huntersville, NC 28078
Phone (704) 384-8720
1995 Wellness Blvd
Ste 110
Monroe, NC 28110
Phone (704) 316-3030
5145 Sellers Rd
Shallotte, NC 28470
Phone (910) 754-4441
13180 US Route 11
Adams Center, NY 13606
Phone (315) 583-5200
5402 Dayan St
Ste 100
Lowville, NY 13367
Phone (315) 376-4600
423 N Main St
Mannsville, NY 13661
1220 Coffeen St
Watertown, NY 13601
Phone (315) 786-1042
1237 Washington St
Watertown, NY 13601
Phone (315) 785-3700
1335 Washington St
Watertown, NY 13601
Phone (315) 785-3700
1351 Washington St
Watertown, NY 13601
Phone (315) 785-3700
171 E Hoard St
Watertown, NY 13601
Phone (315) 785-3750
238 Arsenal St
Watertown, NY 13601
Phone (315) 782-9450
Interoperability endpoints
- beth.jayne.1@21901.direct.athenahealth.com
Organizations & group practices 8
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.
-
- Federally Qualified Health Center (FQHC)
- Watertown, NY
- NPI 1609946821
-
dba Novant Health Endocrinology
- Endocrinology, Diabetes & Metabolism Physician
- Charlotte, NC
- NPI 1306950282
-
dba Novant Health Pediatric Neurology & Sleep
- Neurology with Special Qualifications in Child Neurology Physician
- Charlotte, NC
- NPI 1366409492
-
- Federally Qualified Health Center (FQHC)
- Lowville, NY
- NPI 1235928177
-
dba Novant Health Southern Piedmont Primary Care
- Family Medicine Physician
- Monroe, NC
- NPI 1043258718
Internal Medicine
-
dba Novant Health Elizabeth OB/GYN
- Obstetrics & Gynecology Physician
- Matthews, NC
- NPI 1386506137
-
dba Novant Health Lakeside Physical Therapy & Sports Medicine
- Physical Therapist
- Huntersville, NC
- NPI 1710228283
-
dba Novant Health Huntersville Pediatrics & Internal Medicine
- Internal Medicine Physician
- Huntersville, NC
- NPI 1275586380
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155772800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1614038400000",
"number": "1871607184",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "238 ARSENAL ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012504",
"telephone_number": "315-782-9450",
"fax_number": "315-782-2643"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "238 ARSENAL ST",
"city": "WATERTOWN",
"state": "NY",
"postal_code": "136012504",
"telephone_number": "315-782-9450",
"fax_number": "315-782-2643"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JAYNE",
"first_name": "BETH ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-17",
"last_updated": "2021-02-23",
"certification_date": "2021-02-23",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "NY",
"license": "307832",
"primary": true
},
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "NY",
"license": "307832",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "891356Y",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Watertown, NY
- Akshat Jain, MD
- Christian Jakobsen
- Sophie Jakovich, O.T.
- James E. Willis MD PC (Cardiology Associates of NNY)
- Emily Alexis Jarrett, DPT
- Julie Anne Jeffers, MSW
- Jefferson Anesthesiologist Services PC
- Jefferson County Community Services
- Jefferson County Community Services
- Jefferson County Community Services
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2021; 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.