Provider Demographics
NPI:1730289984
Name:JONES, WESLEY CHRISTIAN (MD)
Entity Type:Individual
Prefix:
First Name:WESLEY
Middle Name:CHRISTIAN
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1869
Mailing Address - Street 2:
Mailing Address - City:FLETCHER
Mailing Address - State:NC
Mailing Address - Zip Code:28732-1869
Mailing Address - Country:US
Mailing Address - Phone:828-687-5698
Mailing Address - Fax:
Practice Address - Street 1:1881 PISGAH DR BLDG A
Practice Address - Street 2:
Practice Address - City:HENDERSONVILLE
Practice Address - State:NC
Practice Address - Zip Code:28791-3760
Practice Address - Country:US
Practice Address - Phone:828-687-4336
Practice Address - Fax:828-694-6757
Is Sole Proprietor?:No
Enumeration Date:2006-09-25
Last Update Date:2024-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2009-01921208000000X, 208M00000X, 207R00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No208000000XAllopathic & Osteopathic PhysiciansPediatrics
No208M00000XAllopathic & Osteopathic PhysiciansHospitalist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NCNC4615AOtherMEDICARE PTAN
NCP01078627OtherRAILROAD MEDICARE PTAN
NC5907365Medicaid
SCAA19937951Medicare PIN
NC2075478AMedicare PIN
SCP00420307OtherRR MEDICARE
SCAA19933640Medicare PIN
SC576007863095OtherBCBS