Organization Active NPI

Clarence L Jones MD PC

  • Family Medicine Physician
  • Cookeville, TN
National Provider Identifier
1306976352
Registry record updated Sep 14, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
CLARENCE L JONES MD PC
Practice address
222 N Oak Ave
Cookeville, TN 38501-2438
Phone
(931) 526-7104
Fax
(931) 526-7105
NPI assigned
Mar 7, 2007
Last updated
Sep 14, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2007

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

Authorized official

Name
Dr. Clarence L Jones Jr., M. D.
Title
Doctor
Phone
(931) 526-7104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X NU Primary

Addresses

Primary practice location

222 N Oak Ave
Cookeville, TN 38501-2438

Mailing address

222 N Oak Ave
Cookeville, TN 38501-2438
Phone (931) 526-7104

Other identifiers 1

IdentifierTypeStateIssuer
2004047OtherTNBCBS

National Provider Directory

National Provider Directory

Locations

222 N Oak Ave
Cookeville, TN 38501
Phone (931) 526-1704

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189728000000",
    "number": "1306976352",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "222 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012438",
            "telephone_number": "931-526-7104",
            "fax_number": "931-526-7105"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "222 N OAK AVE",
            "city": "COOKEVILLE",
            "state": "TN",
            "postal_code": "385012438",
            "telephone_number": "931-526-7104",
            "fax_number": "931-526-7105"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CLARENCE L JONES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-07",
        "last_updated": "2007-09-14",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "CLARENCE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "DOCTOR",
        "authorized_official_telephone_number": "931-526-7104",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "M. D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "2004047",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Cookeville, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.