Active NPI
Jones Family Medical Clinic, PLLC
- Family Medicine Physician
- Tupelo, MS
National Provider Identifier
1346446705
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- JONES FAMILY MEDICAL CLINIC, PLLC
- Practice address
- 1200 N Gloster St
Tupelo, MS 38804-1206 - Phone
- (662) 840-0990
- Fax
- (662) 840-0182
- NPI assigned
- Jun 22, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Kathy M Allred, RHIT
- Title
- Office Manager
- Phone
- (662) 840-0990
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
1200 N Gloster St
Tupelo, MS 38804-1206
Mailing address
1200 N Gloster St
Tupelo, MS 38804-1206
Phone (662) 840-0990
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1346446705 | Other | MS | NPI JONES FAMILY MEDICAL CLINIC, PLLC |
| 302G080670 | Other | MS | MEDICARE PTAN |
| 080002925 | Other | MS | MEDICARE PTAN PHIL JONES INDIVIDUAL |
| 00015920 | Other | MS | MEDICAID INDIVIDUAL PHIL JONES |
| 12788 | Other | MS | PHILLIP JONES, MD LISCENS |
| 1770636243 | Other | MS | NPI TAMMIE WATERS INDIVIDUAL |
| 425198301A | Other | MS | JONES BCBS |
| 001204741 | Other | MS | MEDICAID TAMMIE WATERS INDIVIDUAL |
| P01004732 | Other | RAILROAD MEDICARE TAMMIE WATERS IND | |
| 09015894 | Medicaid | MS | |
| DS1903 | Other | MS | RAILROAD MEDICARE GROUP |
| R574929 | Other | MS | LISCENSE TAMMIE WATERS |
| 080136332 | Other | MS | RAILROAD MEDICARE PTAN PHIL JONES |
| 1659399723 | Other | JONES NPI INDIVIDUAL |
National Provider Directory
National Provider DirectoryLocations
1200 N Gloster St
Tupelo, MS 38804
Phone (662) 810-0990
Practitioners & affiliated clinicians
Practitioners 2
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Internal Medicine Physician
- Nashville, TN
- NPI 1639186349
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1182470400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1410480000000",
"number": "1346446705",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1200 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388041206",
"telephone_number": "662-840-0990",
"fax_number": "662-840-0182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1200 N GLOSTER ST",
"city": "TUPELO",
"state": "MS",
"postal_code": "388041206",
"telephone_number": "662-840-0990",
"fax_number": "662-840-0182"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "JONES FAMILY MEDICAL CLINIC, PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2007-06-22",
"last_updated": "2014-09-12",
"status": "A",
"authorized_official_last_name": "ALLRED",
"authorized_official_first_name": "KATHY",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "OFFICE MANAGER",
"authorized_official_telephone_number": "662-840-0990",
"authorized_official_credential": "RHIT"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI JONES FAMILY MEDICAL CLINIC, PLLC",
"identifier": "1346446705",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN",
"identifier": "302G080670",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE PTAN PHIL JONES INDIVIDUAL",
"identifier": "080002925",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID INDIVIDUAL PHIL JONES",
"identifier": "00015920",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHILLIP JONES, MD LISCENS",
"identifier": "12788",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NPI TAMMIE WATERS INDIVIDUAL",
"identifier": "1770636243",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONES BCBS",
"identifier": "425198301A",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICAID TAMMIE WATERS INDIVIDUAL",
"identifier": "001204741",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE TAMMIE WATERS IND",
"identifier": "P01004732",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "09015894",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE GROUP",
"identifier": "DS1903",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LISCENSE TAMMIE WATERS",
"identifier": "R574929",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE PTAN PHIL JONES",
"identifier": "080136332",
"state": "MS"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "JONES NPI INDIVIDUAL",
"identifier": "1659399723",
"state": null
}
],
"endpoints": [],
"other_names": []
}Other providers in Tupelo, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 12, 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.