Organization Active NPI

Jeffery P Jones DC

  • Chiropractor
  • Madison, MS
National Provider Identifier
1184079832
Registry record updated May 2, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
668 Issued in MS
Legal business name
JEFFERY P JONES DC
Practice address
121 Executive Dr
Madison, MS 39110-9198
Phone
(601) 856-8850
Fax
(601) 856-8957
NPI assigned
May 2, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 2, 2016

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

Authorized official

Name
Dr. Jeffery P Jones, DCNPI 1326177650
Title
Owner/Doctor
Phone
(601) 856-8850

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193400000X SINGLE SPECIALTY GROUP 111N00000X 668 MS Primary

Addresses

Primary practice location

121 Executive Dr
Madison, MS 39110-9198

Mailing address

121 Executive Dr
Madison, MS 39110-9198
Phone (601) 856-8850

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20160519000533 MS Part B Supplier - Clinic/Group Practice 1759670425 Receives reassigned benefits from 3 practitioners
Practice locations: Madison, MS

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1462147200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1462147200000",
    "number": "1184079832",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "121 EXECUTIVE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109198",
            "telephone_number": "601-856-8850",
            "fax_number": "601-856-8957"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 EXECUTIVE DR",
            "city": "MADISON",
            "state": "MS",
            "postal_code": "391109198",
            "telephone_number": "601-856-8850",
            "fax_number": "601-856-8957"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY P JONES DC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-05-02",
        "last_updated": "2016-05-02",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/DOCTOR",
        "authorized_official_telephone_number": "601-856-8850",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DC"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Chiropractor",
            "state": "MS",
            "license": "668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.