Individual provider Active NPI

Daphnee Marie Jones, PA-C

  • Physician Assistant
  • Ardmore, OK
National Provider Identifier
1225720873
Registry record updated Jun 9, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
5021 Issued in OK
Practice address
1104 Walnut Dr
Ardmore, OK 73401-2353
Phone
(580) 226-0543
NPI assigned
May 23, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 5021 OK Primary

Addresses

Primary practice location

1104 Walnut Dr
Ardmore, OK 73401-2353

Mailing address

7147 County Road 1600
Roff, OK 74865-6143
Phone (501) 206-9123

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in OK
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
I20230719003265 OK Practitioner - Physician Assistant 2961862149 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Good Shepherd Community Clinic, Inc.Group PAC ID 4284936337, 19 clinicians

Practice addresses (Care Compare)

1104 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411

1116 Walnut Dr
Ardmore, OK 73401-2353
Phone (580) 223-3411

20 12TH Ave NW
Ardmore, OK 73401-5722
Phone (580) 223-3411

2401 N Commerce St
Ardmore, OK 73401-1280
Phone (580) 226-0543

Hospital & facility affiliations

  • Ideal Home Care, L.P. Home health agency, Ardmore, OK, CCN 377678
  • Elara Caring Xxiii Home health agency, Ada, OK, CCN 377568
  • Mays Housecall Home Health of Durant Home health agency, Durant, OK, CCN 377748
  • Mercy Hospital Ardmore, Inc Hospital, Ardmore, OK, CCN 370047

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
5021OKMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Mercy Hospital Ardmore, Inc. Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: daphnee.jones.1@21725.direct.athenahealth.com

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 4

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": "1684800000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1686268800000",
    "number": "1225720873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7147 COUNTY ROAD 1600",
            "city": "ROFF",
            "state": "OK",
            "postal_code": "748656143",
            "telephone_number": "501-206-9123"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1104 WALNUT DR",
            "city": "ARDMORE",
            "state": "OK",
            "postal_code": "734012353",
            "telephone_number": "580-226-0543"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAPHNEE",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-23",
        "last_updated": "2023-06-09",
        "certification_date": "2023-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OK",
            "license": "5021",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ardmore, OK

Sources for this page

Verify at the official NPI Registry.