Organization Active NPI

Jones Medical Corp

Doing business as Bridgewater Medical Center

  • Family Medicine Physician
  • Hawesville, KY
National Provider Identifier
1376866038
Registry record updated Mar 10, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
42115 Issued in KY
Legal business name
JONES MEDICAL CORP
Doing business as
Bridgewater Medical Center
Practice address
35 Joshua LN
Hawesville, KY 42348
Phone
(270) 927-8585
Fax
(270) 927-8911
NPI assigned
Mar 10, 2010
Last updated
Mar 10, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2010

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

Authorized official

Name
Jayna Robyn Jones, MD
Title
Medical Doctor
Phone
(270) 927-8585

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 42115 KY Primary

Addresses

Primary practice location

35 Joshua LN
Hawesville, KY 42348

Mailing address

PO Box 235
Hawesville, KY 42348-0235
Phone (270) 927-8585

Other names 1

  • Bridgewater Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100526000074 KY Part B Supplier - Clinic/Group Practice 5193865624 Receives reassigned benefits from 4 practitioners
3 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Sacramento, KY; Madisonville, KY; Owensboro, KY

Other NPIs on the same Medicare enrollment 3

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1268179200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1268179200000",
    "number": "1376866038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 235",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "423480235",
            "telephone_number": "270-927-8585",
            "fax_number": "270-927-8911"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "35 JOSHUA LN",
            "city": "HAWESVILLE",
            "state": "KY",
            "postal_code": "42348",
            "telephone_number": "270-927-8585",
            "fax_number": "270-927-8911"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES MEDICAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-03-10",
        "last_updated": "2010-03-10",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JAYNA",
        "authorized_official_middle_name": "ROBYN",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "270-927-8585",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "KY",
            "license": "42115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bridgewater Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Hawesville, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.