Individual provider Active NPI

Marja Lee Jones, CRNP

  • Adult Health Nurse Practitioner
  • Fort Payne, AL
National Provider Identifier
1144815002
Registry record updated Jun 27, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Health Nurse PractitionerTaxonomy code 363LA2200X
License
1-116851 Issued in AL
Practice address
1411 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone
(256) 979-1550
Fax
(256) 979-1576
NPI assigned
Mar 3, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 27, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Health Nurse Practitioner 363LA2200X 1-116851 AL Primary

Addresses

Primary practice location

1411 Old Water Works Rd SW
Fort Payne, AL 35968-3353

Mailing address

1411 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone (256) 979-1550

Other practice location 1

307 Parks Ave
Scottsboro, AL 35768-2411
Phone (256) 912-2100

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL marjamacey@gmail.com

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220401000039 AL Practitioner - Nurse Practitioner 9537555438 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Dekalb Specialty CareGroup PAC ID 5991244378, 20 clinicians

Practice addresses (Care Compare)

1411 Old Water Works Rd SW
Fort Payne, AL 35968-3353
Phone (256) 979-1550

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Signify Health, LLC CurrentSince Jan 1, 2022 Accepting new patients
Dekalb Specialty Care CurrentSince Aug 3, 2024 Accepting new patients
Fort Payne Clinic Corp. CurrentSince Jul 1, 2022 Accepting new patients
Fort Payne Clinic Corp CurrentSince Jul 1, 2022 Accepting new patients

Locations

4000 Eagle Point Corporate Dr
Birmingham, AL 35242
Phone (205) 317-0280

200 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-3150

315 Medical Center Dr SW
Fort Payne, AL 35968
Phone (256) 845-0345

307 Parks Ave
Scottsboro, AL 35768
Phone (256) 574-1566

4055 Valley View Ln
Ste 400
Dallas, TX 75244
Phone (469) 466-7037

Interoperability endpoints

  • Direct secure messaging: marja.jones.1@30893.direct.athenahealth.com

Organizations & group practices 4

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": "1614729600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1656288000000",
    "number": "1144815002",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1411 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683353",
            "telephone_number": "256-979-1550",
            "fax_number": "256-979-1576"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1411 OLD WATER WORKS RD SW",
            "city": "FORT PAYNE",
            "state": "AL",
            "postal_code": "359683353",
            "telephone_number": "256-979-1550",
            "fax_number": "256-979-1576"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "307 Parks Ave",
            "address_purpose": "LOCATION",
            "city": "Scottsboro",
            "state": "AL",
            "postal_code": "357682411",
            "country_code": "US",
            "telephone_number": "256-912-2100",
            "fax_number": "256-912-2101",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARJA",
        "middle_name": "LEE",
        "credential": "CRNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-03-03",
        "last_updated": "2022-06-27",
        "certification_date": "2022-06-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LA2200X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Adult Health",
            "state": "AL",
            "license": "1-116851",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "marjamacey@gmail.com",
            "affiliation": "N",
            "address_1": "1411 Old Water Works Rd SW",
            "city": "Fort Payne",
            "state": "AL",
            "country_code": "US",
            "postal_code": "359683353",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Fort Payne, AL

Sources for this page

Verify at the official NPI Registry.