Active NPI
Jerry W. Jones Jr., MD
- Anesthesiology Physician
- Jackson, TN
National Provider Identifier
1013986702
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Anesthesiology Physician
- License
- 36498
- Practice address
- 139 Windemere Cir
Jackson, TN 38305-3966 - Phone
- (731) 616-8540
- Fax
- (731) 661-6282
- NPI assigned
- Mar 15, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Anesthesiology Physician | 207L00000X | 36498 | TN | Primary |
Addresses
Primary practice location
139 Windemere Cir
Jackson, TN 38305-3966
Mailing address
139 Windemere Cir
Jackson, TN 38305-3966
Phone (731) 616-8540
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN, MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Anesthesiology
- Education
- University of Tennessee, HSC, College of Medicine, 1998
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
7600 Airways Blvd
Suite F
Southaven, MS 38671-5138
Phone (901) 685-2200
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 36498 | TN | MD | Anesthesiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Northstar Anesthesia of Tennessee, PLLC | Anesthesiology | Current | Accepting new patients |
| Covenant Anesthesia Group, PC | Anesthesiology | Current | Accepting new patients |
| Jackson Anesthesia & Perioperative Consultants P C | Anesthesiology | Past | Accepting new patients |
| Ut Regional One Physicians Inc | Anesthesiology | Past | Accepting new patients |
| East Memphis Anesthesia Services, PLLC | Past | Accepting new patients | |
| East Tennessee Neuropathy, PC | Past | Accepting new patients |
Locations
Dept 888089
Knoxville, TN 37995
1559 Sparta St
McMinnville, TN 37110
Phone (615) 406-9544
990 Oak Ridge Tpke
Oak Ridge, TN 37830
Phone (865) 481-1000
Organizations & group practices 7
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
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- Anesthesiology Physician
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1408233600000",
"number": "1013986702",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "139 WINDEMERE CIR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053966",
"telephone_number": "731-616-8540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "139 WINDEMERE CIR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053966",
"telephone_number": "731-616-8540",
"fax_number": "731-661-6282"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERRY",
"middle_name": "W.",
"name_prefix": "Dr.",
"name_suffix": "Jr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2014-08-17",
"status": "A"
},
"taxonomies": [
{
"code": "207L00000X",
"taxonomy_group": "",
"desc": "Anesthesiology",
"state": "TN",
"license": "36498",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2014; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.