Active NPI
Tyler Burkett Jones, PA-C
- Physician Assistant
- Enterprise, AL
National Provider Identifier
1285198945
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- TA.1881
- Practice address
- 404 N Main St
Enterprise, AL 36330-2563 - Phone
- (334) 308-9797
- Fax
- (334) 308-2909
- NPI assigned
- Jan 28, 2019
- Last updated
- Jan 28, 2019
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | TA.1881 | AL | Primary |
Addresses
Primary practice location
404 N Main St
Enterprise, AL 36330-2563
Mailing address
PO Box 729
Dothan, AL 36302-0729
Phone (334) 793-2663
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| TA.1881 | AL | MD | Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SBJS PC | Current | Accepting new patients | |
| S.B.J.S. PC | Current | Accepting new patients |
Locations
1500 Ross Clark Cir
Dothan, AL 36301
Phone (334) 793-2663
404 N Main St
Enterprise, AL 36330
Phone (334) 308-9797
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.
-
dba Southern Bone & Joint Specialists
- Orthopaedic Surgery Physician
- Dothan, AL
- NPI 1134106065
-
- Emergency Medicine Physician
- Dothan, AL
- NPI 1467701490
-
dba Southern Bone & Joint Specialists
- Durable Medical Equipment & Medical Supplies
- Dothan, AL
- NPI 1972824993
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1548633600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1548633600000",
"number": "1285198945",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 729",
"city": "DOTHAN",
"state": "AL",
"postal_code": "363020729",
"telephone_number": "334-793-2663",
"fax_number": "334-836-2247"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 N MAIN ST",
"city": "ENTERPRISE",
"state": "AL",
"postal_code": "363302563",
"telephone_number": "334-308-9797",
"fax_number": "334-308-2909"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "TYLER",
"middle_name": "BURKETT",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-01-28",
"last_updated": "2019-01-28",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "TA.1881",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Enterprise, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.