Individual provider Active NPI

Jeffery M. Jones, D.O.

  • Neurological Surgery Physician
  • Paducah, KY
National Provider Identifier
1295998011
Registry record updated May 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Neurological Surgery PhysicianTaxonomy code 207T00000X
License
05620 Issued in KY
Practice address
2603 Kentucky Ave Ste 402
Paducah, KY 42003-3830
Phone
(270) 443-6472
Fax
(270) 442-1649
NPI assigned
Jul 2, 2008
Last updated
May 28, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X 036.120676 IL
Neurological Surgery Physician 207T00000X 05620 KY Primary

Addresses

Primary practice location

2603 Kentucky Ave Ste 402
Paducah, KY 42003-3830

Mailing address

2603 Kentucky Ave Ste 402
Paducah, KY 42003-3830
Phone (270) 443-6472

Other practice location 1

400 Lincoln Dr
Herrin, IL 62948-3757
Phone (270) 443-6472

Other identifiers 4

IdentifierTypeStateIssuer
036120676MedicaidIL
7100914880MedicaidKY
3932056OtherBCBS
721089OtherILAETNA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IL, KY2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20081106000175 IL Practitioner - Neurosurgery 1951460997 Reassigns benefits to 4 organizations
I20230817001400 KY Practitioner - Neurosurgery 1951460997 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Neurosurgery
Education
Oklahoma State University College of Osteopathic Medicine, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Select Physical Therapy Holdings IncGroup PAC ID 9537076401, shared by 76 NPIs, 1,992 clinicians
Baptist Health Medical Group IncGroup PAC ID 5597867184, 2,431 clinicians
Carle Health Care IncorporatedGroup PAC ID 3577515774, 1,592 clinicians

Practice addresses (Care Compare)

1104 W Main St
Benton, IL 62812-1565
Phone (618) 439-3399

1203 W 10TH St
Metropolis, IL 62960-2433
Phone (618) 524-3795

2421 W Main St
Carbondale, IL 62901-1039
Phone (618) 529-3201

2603 Kentucky Ave
Suite 402
Paducah, KY 42003-3830
Phone (270) 443-6472

326 E Main St
West Frankfort, IL 62896-2402
Phone (618) 937-6200

611 W Park St
Urbana, IL 61801-2500

611 W Park St
Urbana, IL 61801-2501
Phone (888) 712-2753

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Spinal fusion207
Laminectomy or laminotomy (partial removal of spine bones)107

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
036.120676ILMDNeurological Surgery Physician
05620KYMDNeurological Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Carle Health Medical Group CurrentSince Jan 18, 2023 Accepting new patients
Southern Orthopedic Associates SC CurrentSince Sep 1, 2013 Accepting new patients
Baptist Health Medical Group Inc Neurological Surgery CurrentSince Aug 1, 2023 Accepting new patients
Southern Illinois Medical Services, NFP CurrentSince Jul 14, 2008 Accepting new patients
Baptist Health Medical Group Inc CurrentSince May 1, 2025 Accepting new patients
Baptist Health Medical Group Inc CurrentSince Aug 1, 2023 Accepting new patients

Locations

2601 W Main St
Carbondale, IL 62901
Phone (618) 351-7300

400 Lincoln Dr
Herrin, IL 62948
Phone (270) 443-6472

510 Lincoln Dr
Herrin, IL 62948
Phone (618) 997-3100

1203 W 10th St
Metropolis, IL 62960
Phone (618) 524-3795

28 Chick St
Metropolis, IL 62960
Phone (618) 427-2680

611 W Park St
Urbana, IL 61801
Phone (217) 383-6941

5200 Commerce Crossings Dr
Fl 3
Louisville, KY 40229
Phone (502) 253-4924

2603 Kentucky Ave
Ste 304
Paducah, KY 42003
Phone (270) 415-4800

2603 Kentucky Ave
Ste 402
Paducah, KY 42003
Phone (270) 443-2830

2605 Kentucky Ave
Ste 306
Paducah, KY 42003
Phone (270) 415-7653

Interoperability endpoints

  • FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/
  • Direct secure messaging: jjone149@yourcarecommunity.org
  • Direct secure messaging: jjonesdo361085@carlehiedirect.net

Organizations & group practices 6

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 6

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": "1214956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1748390400000",
    "number": "1295998011",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033830",
            "telephone_number": "270-443-6472",
            "fax_number": "270-442-1649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2603 KENTUCKY AVE STE 402",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420033830",
            "telephone_number": "270-443-6472",
            "fax_number": "270-442-1649"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "400 Lincoln Dr",
            "address_purpose": "LOCATION",
            "city": "Herrin",
            "state": "IL",
            "postal_code": "629483757",
            "country_code": "US",
            "telephone_number": "270-443-6472",
            "fax_number": "270-442-1649",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEFFERY",
        "middle_name": "M.",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-07-02",
        "last_updated": "2025-05-28",
        "certification_date": "2025-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "IL",
            "license": "036.120676",
            "primary": false
        },
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "KY",
            "license": "05620",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "036120676",
            "state": "IL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100914880",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "3932056",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "721089",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Paducah, KY

Sources for this page

Verify at the official NPI Registry.