Individual provider Active NPI

Sara Long Jones, M.D.

  • Internal Medicine Physician
  • Mobile, AL
National Provider Identifier
1053756809
Registry record updated Jun 3, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
33902 Issued in AL
Practice address
610 Providence Park Dr E Ste 101
Mobile, AL 36695
Phone
(251) 378-3900
Fax
(251) 378-3902
NPI assigned
May 7, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 3, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 33902 AL Primary

Addresses

Primary practice location

610 Providence Park Dr E Ste 101
Mobile, AL 36695

Mailing address

610 Providence Park Dr E Ste 101
Mobile, AL 36695-4618
Phone (251) 378-3900

Other practice location 1

610 Providence Park Dr E Ste 101
Mobile, AL 36695
Phone (251) 378-3900

Other practice location 2

6701 Airport Blvd Ste A206
Mobile, AL 36608-3763
Phone (251) 675-7433

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL
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 1

Enrollment IDStateProvider typePAC IDDetails
I20160812001696 AL Practitioner - Internal Medicine 5991928061 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of South Alabama College of Medicine, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gmuc of Springhill LLCGroup PAC ID 6901091156, 34 clinicians
Greater Mobile Urgent CareGroup PAC ID 1456429281, 50 clinicians

Practice addresses (Care Compare)

4402 Old Shell Rd
Mobile, AL 36608-1912
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575-5409
Phone (251) 633-0123

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
33902ALMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Gmuc of Springhill LLC CurrentSince Jul 1, 2016 Accepting new patients
Alabama Providence Healthcare Services Internal Medicine CurrentSince Nov 1, 2017 Accepting new patients
Alabama Providence Healthcare Services CurrentSince Nov 1, 2017 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jul 1, 2016 Accepting new patients
Greater Mobile Urgent Care CurrentSince Jul 1, 2016 Accepting new patients
Providence Healthcare Services Internal Medicine Current Accepting new patients

Locations

19355 N 3rd St
Ste 104
Citronelle, AL 36522
Phone (251) 633-0123

6701 Airport Blvd
Ste A101
Mobile, AL 36608
Phone (251) 633-8880

2350 Schillinger Rd S
Mobile, AL 36695
Phone (251) 445-7614

2350 Schillinger Rd S
Ste A
Mobile, AL 36695
Phone (251) 633-0123

6801 Airport Blvd
Mobile, AL 36608
Phone (251) 266-3580

610 Providence Park Dr E
Ste 102
Mobile, AL 36695
Phone (251) 378-3900

6701 Airport Blvd
Ste A206
Mobile, AL 36608
Phone (251) 675-7433

4402 Old Shell Rd
Mobile, AL 36608
Phone (251) 633-0123

6701 Airport Blvd
Ste B329
Mobile, AL 36608
Phone (251) 633-4311

1114 Shelton Beach Rd
Saraland, AL 36571
Phone (251) 633-0123

7943 Moffett Rd
Semmes, AL 36575
Phone (251) 445-7618

Organizations & group practices 8

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": "1367884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1559520000000",
    "number": "1053756809",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366954618",
            "telephone_number": "251-378-3900"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 PROVIDENCE PARK DR E STE 101",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "36695",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "610 Providence Park Dr E Ste 101",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "36695",
            "country_code": "US",
            "telephone_number": "251-378-3900",
            "fax_number": "251-378-3902",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "6701 Airport Blvd Ste A206",
            "address_purpose": "LOCATION",
            "city": "Mobile",
            "state": "AL",
            "postal_code": "366083763",
            "country_code": "US",
            "telephone_number": "251-675-7433",
            "fax_number": "251-675-3470",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARA",
        "middle_name": "LONG",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-05-07",
        "last_updated": "2019-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "33902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

Verify at the official NPI Registry.