Active NPI
Edward Leslie Jones, MD
- Family Medicine Physician
- Athens, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- MD011609E
- Practice address
- 55 Susquehannock TRL
Athens, PA 18810-9701 - Phone
- (570) 423-0008
- NPI assigned
- Mar 15, 2006
- Last updated
- Feb 27, 2025
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 115759-1 | NY | |
| Family Medicine Physician | 207Q00000X | MD011609E | PA | Primary |
Addresses
Primary practice location
55 Susquehannock TRL
Athens, PA 18810-9701
Mailing address
55 Susquehannock TRL
Athens, PA 18810-9701
Phone (570) 423-0008
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in PA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20101207000428 | PA | Practitioner - Family Practice | 9638120348 | Practice locations: Athens, PA |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 115759-1 | NY | MD | Family Medicine Physician |
| MD011609E | PA | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Troy Community Hospital Incorporated | Past | Accepting new patients | |
| Guthrie Home Care | Past | Accepting new patients |
Ownership & related parties
All facility ownership & control disclosures 3
Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.
| Facility | Type | Role | Since |
|---|---|---|---|
| Guthrie Home Health | Home health agency | Corporate Director | Jan 1, 1999 |
| Guthrie Home Health-Ny | Home health agency | Corporate Director (100%) | Jan 1, 1999 |
| Guthrie Hospice | Hospice | Corporate Director | Jan 1, 2018 |
Owned or controlled facilities with NPI records 4
Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.
-
dba Guthrie Hospice
- Community Based Hospice Care Agency
- Towanda, PA
- NPI 1245434356
Corporate Director
-
dba Guthrie Home Health
- Home Health Agency
- Towanda, PA
- NPI 1265438733
Corporate Director
-
dba Guthrie Home Health
- Home Health Agency
- Corning, NY
- NPI 1366860348
Corporate Director
-
dba Guthrie Home Health NY
- Home Health Agency
- Cortland, NY
- NPI 1720402449
Corporate Director
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.
-
- Critical Access Hospital
- Troy, PA
- NPI 1306847926
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1142380800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1740614400000",
"number": "1356310106",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "55 SUSQUEHANNOCK TRL",
"city": "ATHENS",
"state": "PA",
"postal_code": "188109701",
"telephone_number": "570-423-0008"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "55 SUSQUEHANNOCK TRL",
"city": "ATHENS",
"state": "PA",
"postal_code": "188109701",
"telephone_number": "570-423-0008"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EDWARD",
"middle_name": "LESLIE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-03-15",
"last_updated": "2025-02-27",
"certification_date": "2025-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "NY",
"license": "115759-1",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "PA",
"license": "MD011609E",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Athens, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data; Order and Referring.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.