Individual provider Active NPI

Judy Lynn Jones, FNP

  • Family Nurse Practitioner
  • Waynesboro, TN
National Provider Identifier
1336183128
Registry record updated Jun 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
APN0000006068 Issued in TN
Practice address
530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050
Phone
(931) 722-7722
NPI assigned
Jun 15, 2006
Last updated
Jun 22, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 22, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X APN0000006068 TN Primary

Addresses

Primary practice location

530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050

Mailing address

530 Highway 64 E Ste 4
Waynesboro, TN 38485-3050
Phone (931) 722-7722

Other practice location 1

129 N Locust Ave
Lawrenceburg, TN 38464-3757
Phone (931) 762-7232

Other identifiers 7

IdentifierTypeStateIssuer
4115277OtherTNBCBS
10069469OtherTNAMERIGROUP
203949252OtherTNAMERICHOICE
203949252OtherTNUNITED HEALTH CARE
1513078MedicaidTN
0278053OtherTNCIGNA
1513142MedicaidTN

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090605000325 TN Practitioner - Nurse Practitioner 1658266317 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 1989
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

530 Hwy 64 E
Suite 4
Waynesboro, TN 38485-3050
Phone (931) 722-7722

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Certified Registered Nurse, Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
70908TNMDNeurology Physician
6068TNMDSpeech-Language Pathologist
APN0000006068TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Aligned Medical Center LLC Family CurrentSince Feb 5, 2021 Accepting new patients

Locations

718 N Military Ave
Lawrenceburg, TN 38464
Phone (931) 381-2110

Organizations & group practices 2

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 1

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": "1150329600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1592784000000",
    "number": "1336183128",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "530 HIGHWAY 64 E STE 4",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384853050",
            "telephone_number": "931-722-7722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "530 HIGHWAY 64 E STE 4",
            "city": "WAYNESBORO",
            "state": "TN",
            "postal_code": "384853050",
            "telephone_number": "931-722-7722"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "129 N Locust Ave",
            "address_purpose": "LOCATION",
            "city": "Lawrenceburg",
            "state": "TN",
            "postal_code": "384643757",
            "country_code": "US",
            "telephone_number": "931-762-7232",
            "fax_number": "931-722-7234",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JUDY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "FNP",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-15",
        "last_updated": "2020-06-22",
        "certification_date": "2020-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "APN0000006068",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4115277",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10069469",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERICHOICE",
            "identifier": "203949252",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED HEALTH CARE",
            "identifier": "203949252",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513078",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "0278053",
            "state": "TN"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1513142",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waynesboro, TN

Sources for this page

Verify at the official NPI Registry.