Active NPI
Jesse Lee Neighbors
- Other Specialist/Technologist
- Mount Vernon, OH
National Provider Identifier
1235501305
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Other Specialist/Technologist
- Practice address
- 104 N Rogers St
104 N Rogers St
Mount Vernon, OH 43050-1834 - Phone
- (740) 326-9161
- NPI assigned
- Oct 28, 2015
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Other Specialist/Technologist | 246Z00000X | OH | Primary | |
| Family Nurse Practitioner | 363LF0000X | OH |
Addresses
Primary practice location
104 N Rogers St
104 N Rogers St
Mount Vernon, OH 43050-1834
Mailing address
104 N Rogers St
104 N Rogers St
Mount Vernon, OH 43050-1834
Phone (740) 326-9161
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235501305 | Medicaid | OH | |
| 363LF0000X | Medicaid | OH |
Other names 1
- Mr. George Franklin Neighbors
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)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1445990400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1235501305",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "104 N ROGERS ST",
"address_2": "104 N ROGERS ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501834",
"telephone_number": "740-326-9161"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "104 N ROGERS ST",
"address_2": "104 N ROGERS ST",
"city": "MOUNT VERNON",
"state": "OH",
"postal_code": "430501834",
"telephone_number": "740-326-9161"
}
],
"practiceLocations": [],
"basic": {
"last_name": "NEIGHBORS",
"first_name": "JESSE",
"middle_name": "LEE",
"name_prefix": "Dr.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2015-10-28",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "246Z00000X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Other",
"state": "OH",
"license": null,
"primary": true
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "OH",
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1235501305",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "363LF0000X",
"state": "OH"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "GEORGE",
"last_name": "NEIGHBORS",
"middle_name": "FRANKLIN",
"prefix": "MR.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Mount Vernon, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.