Fredred Henry Jones Jr.
Individual provider Active NPI Other Technician · Center Point, AL
NPI 1033749809 · NPPES record last updated Jan 22, 2020
Key facts
- NPI
- 1033749809
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Other Technician 247200000X
- License
- 1715 (AL)
- Practice address
- 9729 Parkway E Ste 10
Center Point, AL 35215-7800 - Phone
- (205) 821-8102
- Fax
- (205) 208-1191
- NPI assigned
- Jan 21, 2020
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1715 | AL | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jmedical | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Technician | 247200000X | 1715 | AL | Yes |
Addresses
Primary practice location
9729 Parkway E Ste 10
Center Point, AL 35215-7800
Mailing address
9729 Parkway E Ste 10
Center Point, AL 35215-7800
Phone (205) 821-8102
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1134529217 | Medicaid | AL |
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | contact@jmedical.net | Direct |
Other providers in Center Point, AL
- George David Johnson Jr.
- Isaac Alexander Johnson
- Nakeita Johnson
- Tangie Nicole Johnson
- Adam Johnston
- Knowbra Incorporated
- Lee and Associates
- Living Better LLC Corporation
- Luciana Community Development Corporation
- Matthew James Mabery
All providers in Center Point, AL · Other Technician in Alabama
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.