Individual provider Active NPI

Corliss Jones, MD

  • Pediatrics Physician
  • Chatham, VA
National Provider Identifier
1407801541
Registry record updated Sep 22, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
License
0101050629 Issued in VA
Practice address
4 S Main St
Chatham, VA 24531-5436
Phone
(434) 432-4443
Fax
(434) 432-3555
NPI assigned
May 24, 2006
Last updated
Sep 22, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatrics Physician 208000000X 0101050629 VA Primary

Addresses

Primary practice location

4 S Main St
Chatham, VA 24531-5436

Mailing address

4 S Main Street
Chatham, VA 24531
Phone (434) 432-4443

Other names 1

  • Dr. Corliss Jones Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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
I20050224000152 VA Practitioner - Pediatric Medicine 8325091887 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
0101050629VAMDPediatrics Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Piedmont Access to Health Services, Inc CurrentSince Mar 8, 2017 Accepting new patients
Piedmont Access to Health Services Inc CurrentSince Mar 8, 2017 Accepting new patients
Piedmont Access to Health Services, Inc Current Accepting new patients

Locations

4 S Main St
Chatham, VA 24531
Phone (434) 432-4443

705 Main St
Danville, VA 24541
Phone (434) 791-4122

Organizations & group practices 3

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": "1148428800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1506038400000",
    "number": "1407801541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4 S MAIN STREET",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "24531",
            "telephone_number": "434-432-4443",
            "fax_number": "434-432-3555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4 S MAIN ST",
            "city": "CHATHAM",
            "state": "VA",
            "postal_code": "245315436",
            "telephone_number": "434-432-4443",
            "fax_number": "434-432-3555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CORLISS",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-24",
        "last_updated": "2017-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "VA",
            "license": "0101050629",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CORLISS",
            "last_name": "JONES",
            "prefix": "DR.",
            "credential": "MD",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Chatham, VA

Sources for this page

Verify at the official NPI Registry.