Beverly N Jones III MD PA

Primary specialty

Psychiatry PhysicianTaxonomy code 2084P0800X

License

93-00168 Issued in NC

Legal business name

BEVERLY N JONES III MD PA

Practice address

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

Phone

(336) 659-8817

Fax

(336) 659-7799

NPI assigned

Jan 10, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Beverly N Jones III, MD

Title

President

Phone

(336) 659-8817

Specialties & licenses 3

Addresses

Other identifiers 7

Locations

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Patricia Deery Adams, PA-C

  • Physician Assistant
  • Salisbury, NC
  • NPI 1437119138
  NPD (past)
• Robert L Rominger III, PH.D.

  • Counseling Psychologist
  • Winston Salem, NC
  • NPI 1386637247
  NPD (past)
• Elizabeth Bennett Townsend, M.S.

  • Mental Health Counselor
  • Winston-Salem, NC
  • NPI 1356383251
  NPD (past)

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

{
    "created_epoch": "1168387200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191542400000",
    "number": "1972652469",
    "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": {
        "organization_name": "BEVERLY N JONES III MD PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-10",
        "last_updated": "2007-10-05",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "BEVERLY",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-659-8817",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": "NC",
            "license": "2110",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "NC",
            "license": "93-00168",
            "primary": true
        },
        {
            "code": "2084P0805X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Psychiatry & Neurology, Geriatric Psychiatry",
            "state": "NC",
            "license": "93-00168",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JONES GROUP BCBS",
            "identifier": "017VJ",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JONES PARTNERS",
            "identifier": "20247",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ELIZABETH TOWNSEND BCBS",
            "identifier": "137XC",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JONES GROUP RR MEDICA",
            "identifier": "DB 3319-33",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6005875",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6103140",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DR. JONES BCBS",
            "identifier": "46779",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Better Opportunities LLC
• Bettertherapy LLC
• Kristen Marisa Bettis, CRNA
• Michael A Bettmann, MD
• William Desmond Bevel, RT (R)
• Nicole Leigh Beverly, PA-C
• Amsu Batin Bey El
• Janora Bey, MS
• Jessica Vaughn Bey, LPC
• Richard Doud Bey, MD

• Psychiatry Physician in Winston Salem, NC
• Providers in Winston Salem, NC by specialty
• Psychiatry Physician in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.