Individual provider Active NPI

Brandi Jones, FNP-C

  • Family Nurse Practitioner
  • Athens, TX
National Provider Identifier
1255988937
Registry record updated Sep 11, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
AP142248 Issued in TX
Practice address
117 Medical Cir
Athens, TX 75751-9003
Phone
(903) 676-3200
Fax
(903) 676-3277
NPI assigned
Aug 19, 2019
Last updated
Sep 11, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 11, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X AP142248 TX Primary

Addresses

Primary practice location

117 Medical Cir
Athens, TX 75751-9003

Mailing address

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Other identifiers 2

IdentifierTypeStateIssuer
404572602MedicaidTX
1M2576OtherTXMEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20190927000296 TX Practitioner - Nurse Practitioner 7618207085 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lakeland Medical AssociatesGroup PAC ID 2567476146, 16 clinicians

Practice addresses (Care Compare)

117 Medical Cir
Athens, TX 75751-9003
Phone (903) 676-3200

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Christus Trinity Clinic Texas CurrentSince Mar 15, 2021 Accepting new patients
Lakeland Medical Associates Family CurrentSince Sep 3, 2024 Accepting new patients
Christus Trinity Clinic Texas CurrentSince Mar 15, 2021 Accepting new patients

Locations

117 Medical Cir
Athens, TX 75751
Phone (903) 676-3200

1505 State Highway 19 S
Athens, TX 75751
Phone (903) 675-1725

630 S Fleishel Ave
Tyler, TX 75701
Phone (903) 510-8888

Interoperability endpoints

  • Direct secure messaging: bjones245458@christushealth.direct-ci.net
  • Direct secure messaging: brandi.jones.1@31619.direct.athenahealth.com

Organizations & group practices 3

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.

Hospital & facility affiliations 1

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": "1566172800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1726012800000",
    "number": "1255988937",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 MEDICAL CIR",
            "city": "ATHENS",
            "state": "TX",
            "postal_code": "757519003",
            "telephone_number": "903-676-3200",
            "fax_number": "903-676-3277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRANDI",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-19",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TX",
            "license": "AP142248",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "404572602",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "1M2576",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, TX

Sources for this page

Verify at the official NPI Registry.