Individual provider Active NPI

Jerry W. Jones Jr., MD

  • Anesthesiology Physician
  • Jackson, TN
National Provider Identifier
1013986702
Registry record updated Aug 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
36498 Issued in TN
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

Updated by the provider on Aug 17, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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, MS2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20120411000644 TN Practitioner - Anesthesiology 4981875754 Reassigns benefits to 2 organizations
I20220210000676 MS Practitioner - Anesthesiology 4981875754 Reassigns benefits to 1 organization

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
East Memphis Anesthesia Services PLCGroup PAC ID 1850386038, 26 clinicians

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

LicenseStateTypeSpecialty
36498TNMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Northstar Anesthesia of Tennessee, PLLC Anesthesiology CurrentSince Jan 11, 2014 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 PastSince Apr 1, 2013 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.

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

Verify at the official NPI Registry.