Individual provider Active NPI

Anthony Wade Jones, M.D.

  • Emergency Medicine Physician
  • Fort Campbell, KY
National Provider Identifier
1124288998
Registry record updated Nov 29, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
Q2311 Issued in TX
Practice address
650 Joel Dr
Credentialing Office
Fort Campbell, KY 42223-5318
Phone
(210) 916-2460
NPI assigned
Jun 14, 2008
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 01067621A IN
Emergency Medicine Physician 207P00000X Q2311 TX Primary

Addresses

Primary practice location

650 Joel Dr
Credentialing Office
Fort Campbell, KY 42223-5318

Mailing address

650 Joel Dr
Credentialing Office
Fort Campbell, KY 42223-5318

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, TX2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120327000292 TN Practitioner - Emergency Medicine 3971763111 Reassigns benefits to 1 organization
I20151125000637 TX Practitioner - Emergency Medicine 3971763111 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
01067621AINMDEmergency Medicine Physician
Q2311TXMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeastern Emergency Physicians LLC Emergency Medicine CurrentSince Dec 9, 2020 Accepting new patients
Emergency Medicine Services of TX, PLLC Emergency Medicine CurrentSince Jan 26, 2024 Accepting new patients
Cec Alamo Heights ER Physicians PLLC CurrentSince Mar 1, 2020 Accepting new patients
Alamo Heights Complete Care LLC Past Accepting new patients
2013 Broadway Emergency Care LLC Past Accepting new patients
Hospital Based Medical Services of Tennessee-I PC Emergency Medicine PastSince Feb 20, 2019 Accepting new patients
La Vernia Erl Acquisition Partners LLC PastSince Apr 1, 2025 Accepting new patients
Complete Emergency Care la Vernia LLC Past Accepting new patients

Locations

111 Highway 70 E
Dickson, TN 37055
Phone (615) 441-2357

1924 Alcoa Hwy
Knoxville, TN 37920
Phone (865) 305-9000

9352 Park West Blvd
Knoxville, TN 37923
Phone (865) 373-1000

134 Menger Spgs
Boerne, TX 78006
Phone (830) 331-3000

1020 S State Highway 16
Fredericksburg, TX 78624
Phone (830) 990-1555

225 E Parkwood Ave
Friendswood, TX 77546
Phone (281) 549-9400

12285 Bandera Rd
Helotes, TX 78023
Phone (210) 575-2285

1905 E State Highway 97
Jourdanton, TX 78026
Phone (210) 614-9603

11100 Shadow Creek Pkwy
Pearland, TX 77584
Phone (713) 770-7000

9211 Potranco Rd
San Antonio, TX 78251
Phone (210) 575-9211

7700 Floyd Curl Dr
San Antonio, TX 78229
Phone (210) 575-5564

6700 W Interstate 10
San Antonio, TX 78201
Phone (210) 575-8289

6496 N New Braunfels Ave
San Antonio, TX 78209
Phone (210) 930-4500

250 E Basse Rd
Ste 101
San Antonio, TX 78209
Phone (210) 638-4159

12805 W Interstate 10
San Antonio, TX 78249
Phone (210) 575-9805

1310 McCullough Ave
San Antonio, TX 78212
Phone (210) 208-2200

13434 Nacogdoches Rd
San Antonio, TX 78217
Phone (210) 447-7560

6402 Mallard Mdw
San Antonio, TX 78244
Phone (210) 757-5000

3154 SE Military Dr
Ste 103
San Antonio, TX 78223
Phone (210) 337-0911

1139 E Sonterra Blvd
San Antonio, TX 78258
Phone (210) 638-2000

20475 State Highway 46 W
Ste 100
Spring Branch, TX 78070
Phone (830) 252-5200

26306 Kuykendahl Rd
Tomball, TX 77375
Phone (346) 246-7700

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": "1213401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1669680000000",
    "number": "1124288998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "CREDENTIALING OFFICE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "650 JOEL DR",
            "address_2": "CREDENTIALING OFFICE",
            "city": "FORT CAMPBELL",
            "state": "KY",
            "postal_code": "422235318",
            "telephone_number": "210-916-2460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANTHONY",
        "middle_name": "WADE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2008-06-14",
        "last_updated": "2022-11-29",
        "certification_date": "2022-11-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "IN",
            "license": "01067621A",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TX",
            "license": "Q2311",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Campbell, KY

Sources for this page

Verify at the official NPI Registry.