Active NPI
Karl D Jones, M.D.
- Psychiatry Physician
- Clearwater, FL
National Provider Identifier
1235236522
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatry Physician
- License
- ME52921
- Practice address
- 11300 US Highway 19 N
Clearwater, FL 33764-7451 - Phone
- (727) 541-2646
- Fax
- (727) 784-1917
- NPI assigned
- Sep 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatry Physician | 2084P0800X | ME52921 | FL | Primary |
Addresses
Primary practice location
11300 US Highway 19 N
Clearwater, FL 33764-7451
Mailing address
PO Box 130
Crystal Beach, FL 34681-0130
Phone (727) 422-4278
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 061088700 | Medicaid | FL | |
| AM731 | Other | FL | MEDICARE IDENTIFIER |
| 1417103342 | Other | FL | GROUP NPI |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158710400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529107200000",
"number": "1235236522",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 130",
"city": "CRYSTAL BEACH",
"state": "FL",
"postal_code": "346810130",
"telephone_number": "727-422-4278",
"fax_number": "727-784-1917"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11300 US HIGHWAY 19 N",
"city": "CLEARWATER",
"state": "FL",
"postal_code": "337647451",
"telephone_number": "727-541-2646",
"fax_number": "727-784-1917"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KARL",
"middle_name": "D",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-09-20",
"last_updated": "2018-06-16",
"status": "A"
},
"taxonomies": [
{
"code": "2084P0800X",
"taxonomy_group": "",
"desc": "Psychiatry & Neurology, Psychiatry",
"state": "FL",
"license": "ME52921",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "061088700",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE IDENTIFIER",
"identifier": "AM731",
"state": "FL"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1417103342",
"state": "FL"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Clearwater, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.