Active NPI
Jessica Carliela Jones, CRNP
- Family Nurse Practitioner
- Dothan, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Nurse Practitioner
- License
- 2016028291
- Practice address
- 1108 Ross Clark Cir
Dothan, AL 36301-3022 - Phone
- (334) 793-8111
- NPI assigned
- Jul 17, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Nurse Practitioner | 363L00000X | 349465 | NY | |
| Family Nurse Practitioner | 363LF0000X | 11001479 | FL | |
| Family Nurse Practitioner | 363LF0000X | 2016028291 | AL | Primary |
Addresses
Primary practice location
1108 Ross Clark Cir
Dothan, AL 36301-3022
Mailing address
PO Box 642
Cottonwood, AL 36320-0642
Phone (334) 797-4787
Other practice location 1
601 E Rollins St
Orlando, FL 32803-1248
Phone (407) 303-6413
Other practice location 2
13000 Cottonwood Rd
Cottonwood, AL 36320-4280
Phone (334) 691-1109
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL, FL, NY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 3
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2020
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
10461 Quality Dr
Spring Hill, FL 34609-9634
Phone (352) 576-5400
13000 Cottonwood Rd
Cottonwood, AL 36320-4280
Phone (334) 618-9544
321 Genesee St
Oneida, NY 13421-2611
Phone (315) 363-6000
951 N Washington Ave
Titusville, FL 32796-2194
Phone (321) 268-6111
Hospital & facility affiliations
- Samaritan Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Registered Nurse, Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 349465 | NY | MD | Nurse Practitioner |
| 2016028291 | AL | MD | Family Nurse Practitioner |
| 11001479 | FL | MD | Family Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Houston County Healthcare Authority | Nurse Practitioner | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Intensivist Medicine Services of FL, LLC | Current | Accepting new patients | |
| Apogee Medical Group, Florida Inc | Current | Accepting new patients | |
| Nes Tennessee Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida Inc | Current | Accepting new patients | |
| Inpatient Consultants of Florida, Inc | Nurse Practitioner | Current | Accepting new patients |
| Hospital Physician Services - Southeast Professional Corporation | Nurse Practitioner | Current | Accepting new patients |
| Medcore Associates, PLLC | Current | Accepting new patients | |
| Nes Tennessee Inc | Nurse Practitioner | Current | Accepting new patients |
| Florida Emergency Physicians Kang and Associates MD LLC | Current | Accepting new patients | |
| Alabama Physicians Group LLC | Current | Accepting new patients | |
| Buffalo Emergency Associates LLP | Current | Accepting new patients | |
| Pathology Laboratory Associates | Current | Accepting new patients | |
| Apogee Medical Group, New York, PC | Current | Accepting new patients | |
| Paragon Emergency Services LLC | Nurse Practitioner | Current | Accepting new patients |
| Houston County Healthcare Authority | Current | Accepting new patients | |
| Modern Health Family Care Practice | Current | Accepting new patients |
Locations
400 E 10th St
Anniston, AL 36207
Phone (256) 235-5121
1108 Ross Clark Cir
Dothan, AL 36301
Phone (334) 712-3635
1725 Pine St
Montgomery, AL 36106
Phone (334) 293-8000
315 W Hickory St
Sylacauga, AL 35150
Phone (256) 249-5000
601 E Altamonte Dr
Altamonte Springs, FL 32701
Phone (407) 303-2200
1909 E Highway 50
Clermont, FL 34711
Phone (352) 717-3800
701 W Plymouth Ave
Deland, FL 32720
Phone (386) 943-3160
2001 W 68th St
Miami Lakes, FL 33016
Phone (305) 364-2151
350 7th St N
Naples, FL 34102
Phone (239) 436-5000
601 E Rollins St
Orlando, FL 32803
Phone (407) 303-1996
10461 Quality Dr
Spring Hill, FL 34609
Phone (352) 688-3002
3030 W Bearss Ave
Tampa, FL 33618
Phone (813) 932-2222
2901 W Swann Ave
Fl S
Tampa, FL 33609
Phone (813) 873-6400
1000 Waterman Way
Tavares, FL 32778
Phone (352) 253-3333
1451 El Camino Real
The Villages, FL 32159
Phone (352) 751-8000
951 N Washington Ave
Titusville, FL 32796
Phone (302) 325-5511
565 Abbott Rd
Buffalo, NY 14220
Phone (716) 826-7000
2605 Harlem Rd
Cheektowaga, NY 14225
Phone (716) 891-2315
515 Main St
Olean, NY 14760
Phone (716) 373-2600
321 Genesee St
Oneida, NY 13421
Phone (315) 361-2020
5300 Military Rd
Stela Niagara, NY 14092
Phone (716) 297-4800
2950 Elmwood Ave
Tonawanda, NY 14217
Phone (716) 447-6100
2000 Health Park Dr
Brentwood, TN 37027
Phone (615) 372-5426
7300 State Highway 121
Ste 370374
McKinney, TX 75070
Interoperability endpoints
- https://fhir4.healow.com/fhir/r4/AIBJCD/Endpoint/AIBJCD
- jjones12333@southeasthealth.direct-ci.com
Organizations & group practices 18
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.
-
- Primary Care Clinic/Center
- Cottonwood, AL
- NPI 1891316758
-
- Emergency Medicine Physician
- Winter Haven, FL
- NPI 1912101650
Nurse Practitioner
-
- Emergency Medicine Physician
- Anniston, AL
- NPI 1750062527
-
- Internal Medicine Physician
- Enterprise, AL
- NPI 1619026606
-
- Emergency Medicine Physician
- Williamsville, NY
- NPI 1508816521
-
- Emergency Medical Services (Emergency Medicine) Physician
- Orlando, FL
- NPI 1811983752
-
- Hospitalist Physician
- Monroe, GA
- NPI 1760410385
FL, Nurse Practitioner
-
- Internal Medicine Physician
- Orange Park, FL
- NPI 1396795597
Nurse Practitioner
-
- Critical Care Medicine (Internal Medicine) Physician
- Tampa, FL
- NPI 1235836388
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Watertown, NY
- NPI 1598713745
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1500249600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1692662400000",
"number": "1285156752",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 642",
"city": "COTTONWOOD",
"state": "AL",
"postal_code": "363200642",
"telephone_number": "334-797-4787"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1108 ROSS CLARK CIR",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363013022",
"telephone_number": "334-793-8111"
}
],
"practiceLocations": [
{
"address_1": "601 E Rollins St",
"address_purpose": "LOCATION",
"city": "Orlando",
"state": "FL",
"postal_code": "328031248",
"country_code": "US",
"telephone_number": "407-303-6413",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "13000 Cottonwood Rd",
"address_purpose": "LOCATION",
"city": "Cottonwood",
"state": "AL",
"postal_code": "363204280",
"country_code": "US",
"telephone_number": "334-691-1109",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JESSICA",
"middle_name": "CARLIELA",
"credential": "CRNP",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-07-17",
"last_updated": "2023-08-22",
"certification_date": "2023-08-22",
"status": "A"
},
"taxonomies": [
{
"code": "363L00000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner",
"state": "NY",
"license": "349465",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "FL",
"license": "11001479",
"primary": false
},
{
"code": "363LF0000X",
"taxonomy_group": "",
"desc": "Nurse Practitioner, Family",
"state": "AL",
"license": "2016028291",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Dothan, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.