Individual provider Active NPI

Caleb Wayne Jones

  • Emergency Medicine Physician
  • Tulsa, OK
National Provider Identifier
1194495655
Registry record updated Jan 16, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
8558 Issued in OK
Practice address
1111 W 17TH St
Tulsa, OK 74107-1886
Phone
(918) 557-9003
NPI assigned
Sep 16, 2021
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 8558 OK Primary
Student in an Organized Health Care Education/Training Program 390200000X

Addresses

Primary practice location

1111 W 17TH St
Tulsa, OK 74107-1886

Mailing address

211 Vail Cir
Kiefer, OK 74041-4511
Phone (918) 557-9003

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX, OK2 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
I20240924004286 TX Practitioner - Emergency Medicine 6305387804 Reassigns benefits to 1 organization
I20240925004694 OK Practitioner - Emergency Medicine 6305387804 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Central Emergency Services, PCGroup PAC ID 8224212949, 57 clinicians

Practice addresses (Care Compare)

200 2ND Ave SW
Miami, OK 74354-6830
Phone (918) 542-6611

Hospital & facility affiliations

  • Creek Nation Community Hospital Hospital, Okemah, OK, CCN 371333
  • Muscogee (Creek) Nation Medical Center Hospital, Okmulgee, OK, CCN 370057

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
8558OKMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Creek Nation Hospital & Clinics Current Accepting new patients
South Central Emergency Services PC Emergency Medicine CurrentSince Jan 1, 2025 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 23, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 23, 2024 Accepting new patients
Creek Nation Hospital & Clinics CurrentSince Sep 23, 2024 Accepting new patients
Green Country Emergency Physicians Group of Tulsa PLLC Emergency Medicine CurrentSince Jan 21, 2026 Accepting new patients

Locations

1202 N Muskogee Pl
Claremore, OK 74017
Phone (918) 341-2556

1027 E Cherry St
Cushing, OK 74023
Phone (918) 225-2915

2401 W Main St
Henryetta, OK 74437
Phone (918) 650-1100

200 2nd Ave SW
Miami, OK 74354
Phone (918) 540-7113

1401 Morris Dr
Okmulgee, OK 74447
Phone (918) 456-0641

1101 S Belmont Ave
Ste 204
Okmulgee, OK 74447
Phone (918) 756-3526

900 E Airport Rd
Okmulgee, OK 74447
Phone 91875643334448

10502 N 110th East Ave
Owasso, OK 74055
Phone (918) 376-8000

105 Wall St
Poteau, OK 74953
Phone (918) 635-3100

1323 W 6th Ave
Stillwater, OK 74074
Phone (405) 372-1480

Dept 1467
Tulsa, OK 74182

1120 S Utica Ave
Tulsa, OK 74104
Phone (918) 579-6090

10109 E 79th St
Tulsa, OK 74133
Phone (888) 552-6760

Interoperability endpoints

  • Direct secure messaging: cjones23216@muscogeecreeknation.direct-ci.com

Organizations & group practices 6

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 2

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": "1631750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1736985600000",
    "number": "1194495655",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "211 VAIL CIR",
            "city": "KIEFER",
            "state": "OK",
            "postal_code": "740414511",
            "telephone_number": "918-557-9003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1111 W 17TH ST",
            "city": "TULSA",
            "state": "OK",
            "postal_code": "741071886",
            "telephone_number": "918-557-9003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CALEB",
        "middle_name": "WAYNE",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-16",
        "last_updated": "2025-01-16",
        "certification_date": "2025-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "OK",
            "license": "8558",
            "primary": true
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Tulsa, OK

Sources for this page

Verify at the official NPI Registry.