Melvin Blaine Jones III, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

024735 Issued in TN

Practice address

114 Bellamy Ave
Suite B
Surgoinsville, TN 37873

Phone

(423) 345-6271

Fax

(423) 272-7667

NPI assigned

Apr 18, 2006

Last updated

Dec 17, 2024By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Opted out of Medicare

Previously, effective Aug 26, 2024 through Aug 26, 2026

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• The Clinic Surgoinsville

  • Primary Care Clinic/Center
  • Surgoinsville, TN
  • NPI 1578300430
  NPD
• Emergency Coverage Services, PC

  • Nurse Practitioner
  • Lawrenceburg, TN
  • NPI 1053351593
  NPD (past)
• Emergency Coverage, LLC

  dba Emergency Coverage Corporation of TeamHealth

  • Family Medicine Physician
  • Newport, TN
  • NPI 1427005008
  NPD (past)

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

{
    "created_epoch": "1145318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1734393600000",
    "number": "1003871526",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 66",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "37873",
            "telephone_number": "423-345-6271",
            "fax_number": "423-224-3258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "114 BELLAMY AVE",
            "address_2": "SUITE B",
            "city": "SURGOINSVILLE",
            "state": "TN",
            "postal_code": "37873",
            "telephone_number": "423-345-6271",
            "fax_number": "423-272-7667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MELVIN",
        "middle_name": "BLAINE",
        "name_prefix": "Dr.",
        "name_suffix": "III",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-04-18",
        "last_updated": "2024-12-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "024735",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3827275",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005633095",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jessie Lyons Brown, PT
• Beth Bryan, PHARMD
• Erica Danielle Eidson
• Olisa Jean Horton, MS, CCC-SLP
• Ronald D James, DDS
• Lauren Morgan, NP
• McKenzie Suzanne Payne, PHARMD
• Hannah Sawyer
• Gena Hawks Stewart, D.PH.
• Amber Lipe Suthers

• Family Medicine Physician in Surgoinsville, TN
• Providers in Surgoinsville, TN by specialty
• Family Medicine Physician in Tennessee

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.