Individual provider Active NPI

Jeffrey L Jones, PA-C

  • Physician Assistant
  • Portsmouth, OH
National Provider Identifier
1356502785
Registry record updated Apr 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006927RX Issued in OH
Practice address
1405 11TH St
Portsmouth, OH 45662-4203
Phone
(513) 834-7063
NPI assigned
Jun 18, 2008
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X LL1213 SC
Physician Assistant 363A00000X 01401 WV
Physician Assistant 363A00000X 50.006927RX OH Primary

Addresses

Primary practice location

1405 11TH St
Portsmouth, OH 45662-4203

Mailing address

615 Elsinore PL Ste 200
Cincinnati, OH 45202-1457
Phone (513) 834-7063

Other practice location 1

705 Washington St
Ravenswood, WV 26164-1729
Phone (304) 868-6000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in WV
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
I20090414000650 WV Practitioner - Physician Assistant 6305993130 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
LL1213SCMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Womencare, Inc CurrentSince Dec 7, 2019 Accepting new patients
Womencare, Inc CurrentSince Dec 7, 2019 Accepting new patients
Ten Up Ministries, Inc Past Accepting new patients
The Center for Pain Relief Tri State PLLC Past Accepting new patients
Valley Health Care, Inc Past Accepting new patients

Locations

501 Stockton St
Charleston, WV 25387
Phone (304) 720-4466

116 Hills Plz
Charleston, WV 25387
Phone (304) 720-4446

Organizations & group practices 7

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1213747200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617667200000",
    "number": "1356502785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "615 ELSINORE PL STE 200",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452021457",
            "telephone_number": "513-834-7063"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1405 11TH ST",
            "city": "PORTSMOUTH",
            "state": "OH",
            "postal_code": "456624203",
            "telephone_number": "513-834-7063"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "705 Washington St",
            "address_purpose": "LOCATION",
            "city": "Ravenswood",
            "state": "WV",
            "postal_code": "261641729",
            "country_code": "US",
            "telephone_number": "304-868-6000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEFFREY",
        "middle_name": "L",
        "credential": "PA-C",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2008-06-18",
        "last_updated": "2021-04-06",
        "certification_date": "2021-04-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "SC",
            "license": "LL1213",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "WV",
            "license": "01401",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006927RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Portsmouth, OH

Sources for this page

Verify at the official NPI Registry.