NIYA JONES MD
NPI 1467516781
Internal Medicine - Cardiovascular Disease in South Hill, VA
About Niya Jones Md NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
NIYA JONES MD (NPI 1467516781) is an individual cardiovascular disease provider in South Hill, Virginia, licensed in Virginia (0101287887) and active in the NPI registry since December 2006. She is enrolled in Medicare PECOS, is affiliated with University Of Maryland Medical Center, and maintains 2 additional practice locations.
NPPES Registry Identity
Specialties & Licenses 2
Secondary Practice Locations 2
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
Niya 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.
Medicare Billing Reassignments
4Medicare enrollment records show Niya Jones reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.
Richmond, VA 23298
- Reassigned Medicare billing, Virginia enrollment
- 2,481 clinicians in this Medicare group
Chesapeake, VA 23320
- Reassigned Medicare billing, Virginia enrollment
- 158 clinicians in this Medicare group
Baltimore, MD 21201
- Reassigned Medicare billing, Maryland enrollment
- 614 clinicians in this Medicare group
Newark, DE 19718
- Reassigned Medicare billing, Delaware enrollment
- Medicare enrollment name: Christiana Care Health Services Inc
- 1,531 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.
Areas of Expertise CMS Part B claims 6
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Hospital Affiliations CMS Care Compare 2
Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.
University Of Maryland Medical Center
Acute Care Hospitals · Baltimore, MDUniversity Of MD Shore Medical Center At Easton
Acute Care Hospitals · Easton, MDPhysician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 23970 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Referred Medical Equipment & Supplies CMS DME claims 3
Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
SOUTH HILL, VA 23970
SOUTH HILL, VA 23970
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 Niya Jones's NPI number?
The NPI number for Niya Jones is 1467516781. It was assigned to this individual provider in the NPPES registry on December 21, 2006.
Where is Niya Jones located?
Niya Jones practices at 1755 N Mecklenburg Ave, South Hill, VA 23970. The listed phone number is (434) 447-3151.
What is Niya Jones's specialty?
The primary specialty registered for this NPI is Internal Medicine, specializing in Cardiovascular Disease, with taxonomy code 207RC0000X.
Is Niya Jones enrolled in Medicare?
Yes. Niya 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 Niya Jones's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Niya Jones reassigns Medicare benefits to 4 organizations: Mcv Associated Physicians (Richmond, VA), Chesapeake Regional Medical Group (Chesapeake, VA), University Of Maryland Physicians PA (Baltimore, MD) and Christiana Care Health System (Newark, DE). 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 Niya Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
What insurance does Niya Jones accept?
Health plans from AmeriHealth Caritas Next and Oscar Health list Niya 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.
Is Niya Jones affiliated with any hospitals?
According to CMS data, Niya Jones is affiliated with University Of Maryland Medical Center and University Of MD Shore Medical Center At Easton.
When was this NPI record last updated?
The NPPES record for Niya Jones was last updated on May 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
# Niya Jones, MD · NPI 1467516781
Cardiovascular Disease physician in South Hill, Virginia. Individual provider, active in the CMS NPPES registry since December 21, 2006.
## Identity
- **NPI:** 1467516781 (Entity type: Individual)
- **Enumerated:** December 21, 2006
- **Primary specialty:** Internal Medicine - Cardiovascular Disease · taxonomy 207RC0000X
- **State license:** 0101287887 (Virginia)
- **Sole proprietor:** No
## Practice location
- **Address:** 1755 N MECKLENBURG AVE, South Hill, VA 23970-4080
- **Phone:** (434) 447-3151 · **Fax:** (434) 584-5023
## Medicare
- **Medicare:** Enrolled (PECOS); accepts Medicare assignment
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
- **Bills Medicare through:** 4 organizations under Medicare reassignment (form CMS-855R): Mcv Associated Physicians (NPI 1710959457, Richmond, VA); Chesapeake Regional Medical Group (NPI 1699940270, Chesapeake, VA); University Of Maryland Physicians PA (NPI 1043262579, Baltimore, MD); Christiana Care Health System (NPI 1770615494, Newark, DE) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Yale University School Of Medicine, class of 2005
## Record status
- **NPPES last updated:** May 6, 2026
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Source: [NPI Profile](https://npiprofile.com/npi/1467516781) · Data from the CMS NPPES public registry.