Individual provider Active NPI

Tommie K Jones, C.F.N.P.

  • Family Nurse Practitioner
  • Carthage, MS
National Provider Identifier
1023187689
Registry record updated Nov 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
R859956 Issued in MS
Practice address
310 Ellis St
Carthage, MS 39051-3809
Phone
(601) 267-1480
Fax
(601) 253-0176
NPI assigned
Nov 7, 2006
Last updated
Nov 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 20, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X R859956 MS Primary

Addresses

Primary practice location

310 Ellis St
Carthage, MS 39051-3809

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

242 Thaggard Road
Madden, MS 39109
Phone (601) 267-1406

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040713000919 MS Practitioner - Nurse Practitioner 7315925591 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1100 Hwy 16 E
Carthage, MS 39051-4222
Phone (601) 267-1470

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
R859956MSMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Foundation of Central Ms CurrentSince Jun 20, 2021 Accepting new patients
Baptist Medical Center-Leake, Inc Current Accepting new patients
Baptist Medical Center-Leake, Inc Family CurrentSince Sep 1, 2013 Accepting new patients
Medical Foundation of Central Mississippi, Inc. CurrentSince Jun 20, 2021 Accepting new patients
Baptist Medical Center-Leake, Inc Past Accepting new patients
Checkups - Ms LLC Past Accepting new patients
Checkups - la LLC Past Accepting new patients

Locations

1100 Highway 16 E
Carthage, MS 39051
Phone (601) 267-1100

302 Ellis St
Carthage, MS 39051
Phone (601) 267-1100

1225 N State St
Jackson, MS 39202
Phone (601) 292-4261

401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383

965 Ridge Lake Blvd
Ste 103
Memphis, TN 38120
Phone (901) 227-3221

965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281

Interoperability endpoints

  • Direct secure messaging: tjones154161@direct.bmhcc.org

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1162857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1605830400000",
    "number": "1023187689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "310 ELLIS ST",
            "city": "CARTHAGE",
            "state": "MS",
            "postal_code": "390513809",
            "telephone_number": "601-267-1480",
            "fax_number": "601-253-0176"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "242 Thaggard Road",
            "address_purpose": "LOCATION",
            "city": "Madden",
            "state": "MS",
            "postal_code": "39109",
            "country_code": "US",
            "telephone_number": "601-267-1406",
            "fax_number": "601-267-5422",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "TOMMIE",
        "middle_name": "K",
        "name_prefix": "Mrs.",
        "credential": "C.F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-07",
        "last_updated": "2020-11-20",
        "certification_date": "2020-11-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "MS",
            "license": "R859956",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Carthage, MS

Sources for this page

Verify at the official NPI Registry.