Active NPI
Douglas Edgar Jones, M.D.
- Pain Medicine Physician
- Memphis, TN
National Provider Identifier
1003998329
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pain Medicine Physician
- License
- MD18524
- Practice address
- 6005 Park Avenue
Suite 307
Memphis, TN 38119-5213 - Phone
- (901) 682-0004
- Fax
- (901) 680-8218
- NPI assigned
- Oct 19, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | MD18524 | TN | |
| Pain Medicine Physician | 208VP0000X | MD18524 | TN | Primary |
| Addiction Medicine (Internal Medicine) Physician | 207RA0401X | MD18524 | TN |
Addresses
Primary practice location
6005 Park Avenue
Suite 307
Memphis, TN 38119-5213
Mailing address
6005 Park Ave #307
Memphis, TN 38119
Phone (901) 682-0004
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3031241 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20081215000784 | TN | Practitioner - Addiction Medicine | 1557423233 | Practice locations: Germantown, TN; Memphis, TN |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MD18524 | TN | MD | Addiction Medicine (Internal Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1161216000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1437004800000",
"number": "1003998329",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6005 PARK AVE #307",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "38119",
"telephone_number": "901-682-0004",
"fax_number": "901-680-8218"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "6005 PARK AVENUE",
"address_2": "SUITE 307",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381195213",
"telephone_number": "901-682-0004",
"fax_number": "901-680-8218"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "DOUGLAS",
"middle_name": "EDGAR",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-10-19",
"last_updated": "2015-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "TN",
"license": "MD18524",
"primary": false
},
{
"code": "208VP0000X",
"taxonomy_group": "",
"desc": "Pain Medicine, Pain Medicine",
"state": "TN",
"license": "MD18524",
"primary": true
},
{
"code": "207RA0401X",
"taxonomy_group": "",
"desc": "Internal Medicine, Addiction Medicine",
"state": "TN",
"license": "MD18524",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3031241",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Memphis, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.