Individual provider Active NPI

William Bretlee Jones, MD

  • Family Medicine Physician
  • Greenwood, MS
National Provider Identifier
1407948284
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
07025 Issued in MS
Practice address
200 Grand Blvd
Greenwood, MS 38930
Phone
(662) 453-1852
Fax
(662) 455-3709
NPI assigned
Sep 29, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 07025 MS Primary

Addresses

Primary practice location

200 Grand Blvd
Greenwood, MS 38930

Mailing address

200 Grand Blvd
Greenwood, MS 38930
Phone (662) 453-1852

Other identifiers 1

IdentifierTypeStateIssuer
00015673MedicaidMS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS
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
I20040504001330 MS Practitioner - Family Practice 8123016060 Reassigns benefits to 2 organizations

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Central Mississippi Radiology Current Accepting new patients
Sunder Jagwani MD PA Current Accepting new patients
Greenwood Leflore Hospital CurrentSince Aug 12, 2013 Accepting new patients
Hospitalist Medicine Physicians of Mississippi, LLC Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Greenwood Leflore Hospital Past Accepting new patients
Greenwood Leflore Hospital Family Medicine PastSince Sep 1, 2013 Accepting new patients

Locations

1401 River Rd
Greenwood, MS 38930
Phone (662) 459-2603

1401 River Rd
Rm 442
Greenwood, MS 38930
Phone (662) 459-7149

Interoperability endpoints

  • Direct secure messaging: william.jones@scs-direct.glh.org

Organizations & group practices 8

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": "1159488000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407948284",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 GRAND BLVD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-453-1852",
            "fax_number": "662-455-3709"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 GRAND BLVD",
            "city": "GREENWOOD",
            "state": "MS",
            "postal_code": "38930",
            "telephone_number": "662-453-1852",
            "fax_number": "662-455-3709"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "BRETLEE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-29",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MS",
            "license": "07025",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00015673",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Greenwood, MS

Sources for this page

Verify at the official NPI Registry.