Individual provider Active NPI

McKinley Neal Jones, CRNP

  • Family Medicine Physician
  • Hanceville, AL
National Provider Identifier
1164095915
Registry record updated Jul 20, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
1-143580 Issued in AL
Practice address
24 County Road 262
Hanceville, AL 35077-3415
Phone
(256) 781-0718
Fax
(256) 781-0719
NPI assigned
Jul 20, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 20, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 1-143580 AL Primary

Addresses

Primary practice location

24 County Road 262
Hanceville, AL 35077-3415

Mailing address

24 County Road 262
Hanceville, AL 35077-3415
Phone (256) 781-0718

Other practice location 1

1311 Decatur Hwy Ste A
Fultondale, AL 35068-1737
Phone (205) 379-6040

Other identifiers 1

IdentifierTypeStateIssuer
1508338278OtherALGROUP NPI

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
I20210909002259 AL Practitioner - Nurse Practitioner 0648676098 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Abc Family Medicine IncGroup PAC ID 0446583694, 3 clinicians

Practice addresses (Care Compare)

24 County Rd
Suite 262
Hanceville, AL 35077-3415
Phone (256) 781-0718

Hospital & facility affiliations

  • Cullman Regional Medical Center Hospital, Cullman, AL, CCN 010035

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse

State licenses

LicenseStateTypeSpecialty
1-143580ALMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Abc Family Medicine Inc Family Medicine CurrentSince Aug 31, 2021 Accepting new patients
Dodge City Medical Clinic, Inc. PastSince Jul 25, 2021 Accepting new patients

Locations

24 County Road 262
Hanceville, AL 35077
Phone (256) 287-2345

Organizations & group practices 2

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": "1626739200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1626739200000",
    "number": "1164095915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "24 COUNTY ROAD 262",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773415",
            "telephone_number": "256-781-0718",
            "fax_number": "256-781-0719"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "24 COUNTY ROAD 262",
            "city": "HANCEVILLE",
            "state": "AL",
            "postal_code": "350773415",
            "telephone_number": "256-781-0718",
            "fax_number": "256-781-0719"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1311 Decatur Hwy Ste A",
            "address_purpose": "LOCATION",
            "city": "Fultondale",
            "state": "AL",
            "postal_code": "350681737",
            "country_code": "US",
            "telephone_number": "205-379-6040",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "MCKINLEY",
        "middle_name": "NEAL",
        "credential": "CRNP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-07-20",
        "last_updated": "2021-07-20",
        "certification_date": "2021-07-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "AL",
            "license": "1-143580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1508338278",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hanceville, AL

Sources for this page

Verify at the official NPI Registry.