Traci Zimmerman Jones, D.O.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

0102201816 Issued in VA

Practice address

14631 Route 29 Ste 116
Centreville, VA 20121-5825

Phone

(703) 348-5300

NPI assigned

Apr 20, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

Opted out of Medicare

Yes, effective Sep 25, 2018 through Sep 25, 2026

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Osteopathy

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

{
    "created_epoch": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738281600000",
    "number": "1184689275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6488 GRISTMILL SQUARE LN",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201203723"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14631 ROUTE 29 STE 116",
            "city": "CENTREVILLE",
            "state": "VA",
            "postal_code": "201215825",
            "telephone_number": "703-348-5300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACI",
        "middle_name": "ZIMMERMAN",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2025-01-31",
        "certification_date": "2025-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0102201816",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Judy Ji Hye Jo
• John L. Barnes, D.C., P.C.
• Connie Collins Johnson, PT
• Breon Jones, DC
• Neal B Jones, DDS
• Hye Joo, PHARM.D
• Kristina Jung, NP
• Sheela Kadekar, MD
• Grace Kaleli-Lee, M.A.
• Kristina Kallini, LCSW

• Family Medicine Physician in Centreville, VA
• Providers in Centreville, VA by specialty
• Family Medicine Physician in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.