Individual provider Active NPI

Edward Leslie Jones, MD

  • Family Medicine Physician
  • Athens, PA
National Provider Identifier
1356310106
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD011609E Issued in PA
Practice address
55 Susquehannock TRL
Athens, PA 18810-9701
Phone
(570) 423-0008
NPI assigned
Mar 15, 2006
Last updated
Feb 27, 2025By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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

LicenseStateTypeSpecialty
115759-1NYMDFamily Medicine Physician
MD011609EPAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Troy Community Hospital Incorporated PastSince Apr 20, 2009 Accepting new patients
Guthrie Home Care PastSince Jan 1, 1999 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.

FacilityTypeRoleSince
Guthrie Home HealthTowanda, PA, CCN 397120A Home health agency Corporate Director Jan 1, 1999
Guthrie Home Health-NyCortland, NY, CCN 337449 Home health agency Corporate Director (100%) Jan 1, 1999
Guthrie HospiceTowanda, PA, CCN 391564 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.

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.

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

Verify at the official NPI Registry.