Individual provider Active NPI

Billy C Jones, DO

  • Internal Medicine Physician
  • Murfreesboro, TN
National Provider Identifier
1205830015
Registry record updated Nov 5, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
1461 Issued in TN
Practice address
121 Lasseter Dr
Murfreesboro, TN 37130-4026
Phone
(159) 567-9196
Fax
(615) 896-7490
NPI assigned
Jun 9, 2005
Last updated
Nov 5, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 5, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 1461 TN Primary

Addresses

Primary practice location

121 Lasseter Dr
Murfreesboro, TN 37130-4026

Mailing address

743 Happy Valley Rd
Bell Buckle, TN 37020-4365
Phone (931) 261-5959

Other practice location 1

268 Barfield Crescent Rd
Suite F
Murfreesboro, TN 37128-2625
Phone (615) 890-1088

Other identifiers 3

IdentifierTypeStateIssuer
3307177MedicaidTN
1510151MedicaidTN
4211223OtherTNBCBS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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 1

Enrollment IDStateProvider typePAC IDDetails
I20200109002285 TN Practitioner - Addiction MedicinePractitioner - Internal Medicine 3678636024 Reassigns benefits to 1 organization
Practice locations: Murfreesboro, TN

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
1461TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cedar Recovery of Middle Tennessee, LLC CurrentSince Mar 1, 2020 Accepting new patients
Cedar Recovery Center of Middle Tennessee, LLC CurrentSince Mar 1, 2020 Accepting new patients
Shelbyville Clinic Corp Past Accepting new patients
White County Physician Services Inc Internal Medicine Past Accepting new patients
Saint Thomas Medical Partners Internal Medicine Past Accepting new patients
White County Physician Services LLC Internal Medicine PastSince Dec 1, 2014 Accepting new patients

Locations

2636 N Mount Juliet Rd
Mt Juliet, TN 37122
Phone (615) 680-0110

5000 Crossings Cir
Ste 103
Mt Juliet, TN 37122
Phone (615) 208-9549

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1118275200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1572912000000",
    "number": "1205830015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "743 HAPPY VALLEY RD",
            "city": "BELL BUCKLE",
            "state": "TN",
            "postal_code": "370204365",
            "telephone_number": "931-261-5959"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 LASSETER DR",
            "city": "MURFREESBORO",
            "state": "TN",
            "postal_code": "371304026",
            "telephone_number": "159-567-9196",
            "fax_number": "615-896-7490"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "268 Barfield Crescent Rd",
            "address_2": "Suite F",
            "address_purpose": "LOCATION",
            "city": "Murfreesboro",
            "state": "TN",
            "postal_code": "371282625",
            "country_code": "US",
            "telephone_number": "615-890-1088",
            "fax_number": "615-890-1288",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "BILLY",
        "middle_name": "C",
        "credential": "DO",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2005-06-09",
        "last_updated": "2019-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "TN",
            "license": "1461",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3307177",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1510151",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4211223",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Murfreesboro, TN

Sources for this page

Verify at the official NPI Registry.