Individual provider Active NPI

Tammy Jones, M.D.

  • Family Medicine Physician
  • Fairfax, VA
National Provider Identifier
1144293713
Registry record updated Feb 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101266007 Issued in VA
Practice address
9683A Main St
Fairfax, VA 22031-3744
Phone
(703) 426-4900
Fax
(703) 426-4954
NPI assigned
Feb 13, 2006
Last updated
Feb 20, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 20, 2020

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 98-00293 NC
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207Q00000X 0101266007 VA Primary

Addresses

Primary practice location

9683A Main St
Fairfax, VA 22031-3744

Mailing address

9683 Main St Ste a
Fairfax, VA 22031-3755
Phone (703) 426-4900

Other identifiers 2

IdentifierTypeStateIssuer
CR810001OtherMDBCBS
1922561943OtherVAGROUP NPI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MD, DC2 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
I20160107001095 MD Practitioner - Family Practice 0648258574 Reassigns benefits to 1 organization
I20190515001925 DC Practitioner - Family Practice 0648258574 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Arkansas College of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians

Practice addresses (Care Compare)

7508 Iron Bar LN
Gainesville, VA 20155-2999
Phone (703) 490-6726

8318 Arlington Blvd
Suite 201
Fairfax, VA 22031-5218
Phone (703) 426-4900

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
98-00293NCMDFamily Medicine Physician
0101266007VAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Apr 1, 2017 Accepting new patients
Tammy Jones MD PLLC Single Specialty CurrentSince Mar 20, 2019 Accepting new patients
Luminis Health Medical Group, LLC Single Specialty Current Accepting new patients
Luminis Health Medical Group, LLC Single Specialty CurrentSince Apr 1, 2017 Accepting new patients
P Jean Drew MD PLC Single Specialty PastSince Nov 10, 2019 Accepting new patients

Locations

2002 Medical Pkwy
Ste 460
Annapolis, MD 21401
Phone (410) 266-2725

2003 Medical Pkwy
Ste 301
Annapolis, MD 21401
Phone (443) 481-3366

1630 Main St
Ste 213
Chester, MD 21619
Phone (443) 481-5300

9683 Main St
Ste A
Fairfax, VA 22031
Phone (703) 385-6070

8318 Arlington Blvd
Ste 201
Fairfax, VA 22031
Phone (703) 426-4900

Organizations & group practices 5

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 3

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": "1139788800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1582156800000",
    "number": "1144293713",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9683 MAIN ST STE A",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313755",
            "telephone_number": "703-426-4900",
            "fax_number": "703-426-4954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9683A MAIN ST",
            "city": "FAIRFAX",
            "state": "VA",
            "postal_code": "220313744",
            "telephone_number": "703-426-4900",
            "fax_number": "703-426-4954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMMY",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-02-13",
        "last_updated": "2020-02-20",
        "certification_date": "2020-02-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "98-00293",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101266007",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "CR810001",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1922561943",
            "state": "VA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fairfax, VA

Sources for this page

Verify at the official NPI Registry.