Jimmy Lee Jones, ANP

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

900403 Issued in NC

Practice address

1019 N Lafayette St
Suite 1
Shelby, NC 28150-3834

Phone

(704) 487-9766

Fax

(704) 487-9891

NPI assigned

Jul 31, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

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

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://fhir4.healow.com/fhir/r4/JCJCBA

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.

• Nephrology Associates of the Carolinas, P.a.

  • Nephrology Physician
  • Shelby, NC
  • NPI 1598779803
  Medicare reassignment NPD

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

{
    "created_epoch": "1154304000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1581379200000",
    "number": "1881600914",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1019 N LAFAYETTE ST",
            "address_2": "SUITE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503834",
            "telephone_number": "704-487-9766",
            "fax_number": "704-487-9891"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1019 N LAFAYETTE ST",
            "address_2": "SUITE 1",
            "city": "SHELBY",
            "state": "NC",
            "postal_code": "281503834",
            "telephone_number": "704-487-9766",
            "fax_number": "704-487-9891"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JIMMY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "ANP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-31",
        "last_updated": "2020-02-11",
        "certification_date": "2020-02-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "NC",
            "license": "900403",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP",
            "identifier": "561884447",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Carole Jean Jolley, PMHNP-BC
• Janice Parker Jolley, FNP
• Nancy Putnam Jolly, ANP-C
• Jones Family Practice, P.a.
• Jennifer Jones
• Nancy H Jones, MS, RD, LDN
• Shakeila Jones
• Stephen W Jones, MD
• Toni Jones, LCSW
• Joseph R. Hendrick, Jr. DDS, PA

• Nurse Practitioner in Shelby, NC
• Providers in Shelby, NC by specialty
• Nurse Practitioner in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 11, 2020; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.