Active NPI
Lesley Ann Jones, MD
- Family Medicine Physician
- Kingsport, TN
National Provider Identifier
1053479139
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD0000024370
- Practice address
- 2012 Brookside Dr
Ste 6
Kingsport, TN 37660-4645 - Phone
- (423) 247-0462
- Fax
- (423) 247-0465
- NPI assigned
- Dec 4, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 0101049268 | VA | |
| Family Medicine Physician | 207Q00000X | MD0000024370 | TN | Primary |
| Family Medicine Physician | 207Q00000X | 35148 | NC |
Addresses
Primary practice location
2012 Brookside Dr
Ste 6
Kingsport, TN 37660-4645
Mailing address
2012 Brookside Drive
Ste 6
Kingsport, TN 37660-4645
Phone (423) 247-0462
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3108307 | Other | TN | BCBS OF TN |
| 00325400 | Other | ANTHEM BCBS | |
| 3108307 | Medicaid | TN |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: No
- Medical equipment: Yes
- Home health: No
- Power mobility devices: Yes
- Hospice: No
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 0101049268 | VA | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165190400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053479139",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DRIVE",
"address_2": "STE 6",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-247-0462",
"fax_number": "423-247-0465"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2012 BROOKSIDE DR",
"address_2": "STE 6",
"city": "KINGSPORT",
"state": "TN",
"postal_code": "376604645",
"telephone_number": "423-247-0462",
"fax_number": "423-247-0465"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LESLEY",
"middle_name": "ANN",
"name_prefix": "Ms.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-04",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "VA",
"license": "0101049268",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "MD0000024370",
"primary": true
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NC",
"license": "35148",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "3108307",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM BCBS",
"identifier": "00325400",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3108307",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Kingsport, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.