Active NPI
Kimber a. Jones, DO, PC
- Family Medicine Physician
- Oak Ridge, TN
National Provider Identifier
1114113776
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- DO1555
- Legal business name
- KIMBER A. JONES, DO, PC
- Practice address
- 22 Rockingham LN
Oak Ridge, TN 37830-9033 - Phone
- (865) 386-4887
- NPI assigned
- Sep 18, 2007
- Last updated
- Nov 9, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kimber A Jones, D.O.
- Title
- President
- Phone
- (865) 386-4887
Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | DO1555 | TN | Primary |
Addresses
Primary practice location
22 Rockingham LN
Oak Ridge, TN 37830-9033
Mailing address
22 Rockingham LN
Oak Ridge, TN 37830-9033
Phone (865) 386-4887
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| DO1555 | Other | TN | STATE OF TN - LICENSE |
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Family Medicine Physician
- Knoxville, TN
- NPI 1952372013
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190073600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1194566400000",
"number": "1114113776",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "22 ROCKINGHAM LN",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378309033",
"telephone_number": "865-386-4887"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "22 ROCKINGHAM LN",
"city": "OAK RIDGE",
"state": "TN",
"postal_code": "378309033",
"telephone_number": "865-386-4887"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIMBER A. JONES, DO, PC",
"organizational_subpart": "NO",
"enumeration_date": "2007-09-18",
"last_updated": "2007-11-09",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KIMBER",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "865-386-4887",
"authorized_official_credential": "D.O."
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TN",
"license": "DO1555",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "STATE OF TN - LICENSE",
"identifier": "DO1555",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Oak Ridge, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.