Jerry Lee Jones, MS, CCC-SLP

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

8637 Issued in NC

Practice address

239 W Pennsylvania Ave
Southern Pines, NC 28387-5430

Phone

(910) 215-7155

Fax

(910) 944-5901

NPI assigned

Jun 14, 2007

Last updated

Apr 11, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

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.

• JCS Rehabilitation & Wellness Center,PLLC

  • Speech-Language Pathologist
  • Aberdeen, NC
  • NPI 1497085252
  Authorized official Same address or phone

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

{
    "created_epoch": "1181779200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302480000000",
    "number": "1023212776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "134 MICHAEL LN",
            "city": "ABERDEEN",
            "state": "NC",
            "postal_code": "283152223",
            "telephone_number": "910-215-7155",
            "fax_number": "910-944-5901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "239 W PENNSYLVANIA AVE",
            "city": "SOUTHERN PINES",
            "state": "NC",
            "postal_code": "283875430",
            "telephone_number": "910-215-7155",
            "fax_number": "910-944-5901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JERRY",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "MS, CCC-SLP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-06-14",
        "last_updated": "2011-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NC",
            "license": "2301",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NC",
            "license": "8637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelby Johnson, PA-C
• Rebecca Jolls
• Brianna Jones
• Cassie Jones, MOT, OTR/L
• Gwendolyn Rose Jones, M.D.
• Shaylyn Renee' Jones, LCSW,MHP
• Jose Cangas DDS PLLC (Dental Derby)
• K. Jasinski, D.M.D., P.C. (Morganton Park Dental Care)
• Amanda Nicole Kandes, FNP-C
• Pamela Geertgens Kantorowski, MD

• Speech-Language Pathologist in Southern Pines, NC
• Providers in Southern Pines, NC by specialty
• Speech-Language Pathologist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.