Active NPI
Robert M Jones, M.D.
- Dermatology Physician
- Jackson, TN
National Provider Identifier
1295788461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 18144
- Practice address
- 1320 Union University Dr
Jackson, TN 38305-3780 - Phone
- (731) 422-7999
- Fax
- (731) 422-4937
- NPI assigned
- May 18, 2006
- 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 |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 18144 | TN | Primary |
Addresses
Primary practice location
1320 Union University Dr
Jackson, TN 38305-3780
Mailing address
1320 Union University Dr
Jackson, TN 38305-3780
Phone (731) 422-7999
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2622886 | Other | TN | CIGNA HEALTHCARE |
| 3028070 | Medicaid | TN | |
| 4269190 | Other | BCBS OF TN | |
| 4131559 | Other | TN | AETNA PROVIDER NUMBER |
| P00892044 | Other | RAILROAD MEDICARE |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Specialty Clinic P.C. | Dermatology | Current | Accepting new patients |
Locations
27 Medical Center Dr
Jackson, TN 38301
Phone (901) 424-1001
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1147910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1405468800000",
"number": "1295788461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1320 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053780",
"telephone_number": "731-422-7999",
"fax_number": "731-422-4937"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1320 UNION UNIVERSITY DR",
"city": "JACKSON",
"state": "TN",
"postal_code": "383053780",
"telephone_number": "731-422-7999",
"fax_number": "731-422-4937"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ROBERT",
"middle_name": "M",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-05-18",
"last_updated": "2014-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "TN",
"license": "18144",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA HEALTHCARE",
"identifier": "2622886",
"state": "TN"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3028070",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS OF TN",
"identifier": "4269190",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA PROVIDER NUMBER",
"identifier": "4131559",
"state": "TN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P00892044",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Jackson, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.