DR. SHAYNA DARIENE JONES MD
NPI 1275738775
Obstetrics & Gynecology - Gynecology in Carthage, NC

Active since June 15, 2007PECOS EnrolledAccepts Medicare Assignment
87.95/100
CMS Quality Rating
334 MILL CREEK RD STE B, CARTHAGE, NC 28327(910) 621-7410 Get Directions Write a Review

NPPES record last updated: October 24, 2025. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 17, 2025, Sep 6, 2018 (2 updates tracked since 2018).

About Dr. Shayna Dariene Jones Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. SHAYNA DARIENE JONES MD (NPI 1275738775) is an individual gynecology provider in Carthage, North Carolina, licensed in North Carolina (201500092) and active in the NPI registry since June 2007. She is enrolled in Medicare PECOS, maintains a secondary practice location in Pinehurst, and is a graduate of State University Of New York Downstate Medical Center (2003).

NPPES Registry Identity

NPI1275738775
Entity TypeIndividualFemale
Primary Taxonomy207VG0400X
Provider Legal NameDR. SHAYNA DARIENE JONESCredential: MD
Location Address334 MILL CREEK RD STE BCarthage, NC 28327-6525
Mailing Address155 Memorial DrPinehurst, NC 28374-8710 · (910) 715-2164 · Fax (910) 715-1247
Sole ProprietorNo
Medical School CMSState University Of New York Downstate Medical CenterGraduated 2003
Enumeration DateJune 15, 2007
Last NPPES UpdateOctober 24, 20252 updates tracked since enumeration
NPPES CertifiedOctober 24, 2025
✔ NPI 1275738775 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyObstetrics & Gynecology · GynecologyAllopathic & Osteopathic Physicians
Taxonomy Code207VG0400X
License✔ Licensed in NC · 201500092
Definition
A physician who specializes in diagnosis, treatment, and management of patients with gynecologic conditions. Source: National Uniform Claim Committee
Also ListedObstetrics & GynecologyTaxonomy 207V00000X · License 204555 (NC)
334 MILL CREEK RD STE B, Carthage, NC 28327

Other Names 1

Former Name (1)Shayna Sampson Jones

Secondary Practice Location 1

Location 1155 Memorial DrPinehurst, NC 28374-8710 · Phone (910) 715-2164 · Fax (910) 715-1247

Accepted Insurance

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Dr. Shayna Dariene Jones Md is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7719051986
PECOS Enrollment IDI20150318002382
Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignments

4

Medicare enrollment records show Shayna Jones reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
334 MILL CREEK RD STE B
Carthage, NC 28327
  • Reassigned Medicare billing, North Carolina enrollment
  • 3 clinicians in this Medicare group
0.4 mi
Family Medicine
225 CAPITAL DR STE 103
Carthage, NC 28327
  • Reassigned Medicare billing, North Carolina enrollment
  • 333 clinicians in this Medicare group
Urogynecology and Reconstructive Pelvic Surgery
145 APPLECROSS RD
Pinehurst, NC 28374
  • Reassigned Medicare billing, North Carolina enrollment
  • 51 clinicians in this Medicare group
Rural Health
24420 MARLBORO ST
Wagram, NC 28396
  • Reassigned Medicare billing, North Carolina enrollment
  • 476 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 28327 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$125.01 typical visit price
range $54.12 – $165.09
Typical copayment $31.25 (range $13.53 – $41.27)
Most-billed visit code 99204
Established Patient
$67.72 typical visit price
range $17.21 – $134.61
Typical copayment $16.93 (range $4.30 – $33.65)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

87.95/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored as part of a group practice
Quality76.57
Promoting Interoperability100
Improvement Activities40
Cost83.28

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Family)
334 MILL CREEK RD STE B
CARTHAGE, NC 28327
Nurse Practitioner (Primary Care)
334 MILL CREEK RD STE B
CARTHAGE, NC 28327
Family Medicine
334 MILL CREEK RD STE B
CARTHAGE, NC 28327

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Shayna Jones's NPI number?

The NPI number for Shayna Jones is 1275738775. It was assigned to this individual provider in the NPPES registry on June 15, 2007. The provider is also known as Shayna Sampson Jones.

Where is Shayna Jones located?

Shayna Jones practices at 334 Mill Creek Rd Ste B, Carthage, NC 28327. The listed phone number is (910) 621-7410.

What is Shayna Jones's specialty?

The primary specialty registered for this NPI is Obstetrics & Gynecology, specializing in Gynecology, with taxonomy code 207VG0400X.

Is Shayna Jones enrolled in Medicare?

Yes. Shayna Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Which organizations bill Medicare for Shayna Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shayna Jones reassigns Medicare benefits to 4 organizations: Sandhills Functional Medicine PLLC (Carthage, NC), Fhpg, LLC (Carthage, NC), Mcpc-12, LLC (Pinehurst, NC) and Scotland Memorial Hospital, Inc (Wagram, NC). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shayna Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shayna Jones accept?

Health plans from Blue Cross and Blue Shield of NC, BlueCross BlueShield of South Carolina and InStil Health list Shayna Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Shayna Jones was last updated on October 24, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.