Individual provider Active NPI

David L Jones, M.D.

  • Obstetrics & Gynecology Physician
  • Deridder, LA
National Provider Identifier
1114924826
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology PhysicianTaxonomy code 207V00000X
License
12009 Issued in LA
Practice address
206 W 5TH St
Deridder, LA 70634-4856
Phone
(337) 463-5582
Fax
(337) 460-1348
NPI assigned
Jul 7, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Obstetrics & Gynecology Physician 207V00000X 12009 LA Primary

Addresses

Primary practice location

206 W 5TH St
Deridder, LA 70634-4856

Mailing address

206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 463-5582

Other identifiers 2

IdentifierTypeStateIssuer
1072134MedicaidTX
1136549MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20050822000832 LA Practitioner - Obstetrics/Gynecology 7416988217 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Obstetrics/Gynecology
Education
Louisiana State University School of Medicine in New Orleans, 1975
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Beauregard Women'S Health Center, LLCGroup PAC ID 9234319955, 5 clinicians

Practice addresses (Care Compare)

206 W 5TH St
Deridder, LA 70634-4856
Phone (337) 462-7160

Hospital & facility affiliations

  • Beauregard Memorial Hospital Hospital, Deridder, LA, CCN 190050

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
12009LAMDObstetrics & Gynecology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Service District No 2 of Parish of Beauregard State of la Current Accepting new patients
West Louisiana Health Services Inc Obstetrics & Gynecology CurrentSince Oct 21, 2020 Accepting new patients
Beauregard Women'S Health Center, LLC Obstetrics & Gynecology CurrentSince Jan 1, 2015 Accepting new patients

Locations

206 W 5th St
Deridder, LA 70634
Phone (337) 462-7106

600 S Pine St
Deridder, LA 70634
Phone (337) 462-7100

Interoperability endpoints

  • Direct secure messaging: david.jones@beauregard.medalliesdirect.net

Organizations & group practices 3

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1120694400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1114924826",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-463-5582",
            "fax_number": "337-460-1348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "206 W 5TH ST",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "706344856",
            "telephone_number": "337-463-5582",
            "fax_number": "337-460-1348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-07-07",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207V00000X",
            "taxonomy_group": "",
            "desc": "Obstetrics & Gynecology",
            "state": "LA",
            "license": "12009",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1072134",
            "state": "TX"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1136549",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Deridder, LA

Sources for this page

Verify at the official NPI Registry.