Individual provider Active NPI

Wesley Blake Jones, M.D.

  • Anatomic Pathology & Clinical Pathology Physician
  • Jacksonville, FL
National Provider Identifier
1417183633
Registry record updated Mar 22, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anatomic Pathology & Clinical Pathology PhysicianTaxonomy code 207ZP0102X
License
ME128023 Issued in FL
Practice address
800 Prudential Dr
Jacksonville, FL 32207-8211
Phone
(904) 202-1041
NPI assigned
Jun 2, 2009
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 22, 2025

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

Specialties & licenses 6

Specialty (taxonomy)CodeLicenseStatePrimary
Blood Banking & Transfusion Medicine Physician 207ZB0001X 036130363 IL
Blood Banking & Transfusion Medicine Physician 207ZB0001X ME128023 FL
Blood Banking & Transfusion Medicine Physician 207ZB0001X 81350 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 036130363 IL
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X 81350 GA
Anatomic Pathology & Clinical Pathology Physician 207ZP0102X ME128023 FL Primary

Addresses

Primary practice location

800 Prudential Dr
Jacksonville, FL 32207-8211

Mailing address

77 N Airlite St
Department of Pathology
Elgin, IL 60123-4912
Phone (847) 695-3200

Other practice location 1

77 N Airlite St
Department of Pathology
Elgin, IL 60123-4912
Phone (847) 695-3200

Other identifiers 1

IdentifierTypeStateIssuer
125056229MedicaidIL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, TN2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20160608002551 FL Practitioner - Pathology 1052625449 Reassigns benefits to 1 organization
I20250617002970 TN Practitioner - Pathology 1052625449 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Pathology
Education
Tulane University School of Medicine, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The West Clinic P.C.Group PAC ID 2668360579, 115 clinicians

Practice addresses (Care Compare)

7945 Wolf River Blvd
Germantown, TN 38138-1762
Phone (901) 683-0055

Merit-based Incentive Payment System (MIPS)

Final score
75 of 100Reported as individual

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME128023FLMDBlood Banking & Transfusion Medicine Physician
81350GAMDBlood Banking & Transfusion Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The West Clinic P.C. CurrentSince Apr 24, 2025 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology CurrentSince May 1, 2016 Accepting new patients
Southeastern Pathology Associates PC Anatomic Pathology & Clinical Pathology Past Accepting new patients

Locations

1250 S 18th St
Fernandina Beach, FL 32034
Phone (904) 202-2087

801 Oak St
Green Cv Spgs, FL 32043
Phone (904) 215-7015

14550 Old St Augustine Rd
Jacksonville, FL 32258
Phone (904) 202-5010

800 Prudential Dr
Jacksonville, FL 32207
Phone (904) 202-2000

898 College St
Monticello, GA 31064
Phone (706) 468-0988

2810 N Oak St
Valdosta, GA 31602
Phone (229) 259-0019

240 Grandview Dr
Brighton, TN 38011
Phone (901) 475-0678

7945 Wolf River Blvd
Memphis, TN 38138
Phone (901) 448-7000

7714 Poplar Ave
Ste 200
Memphis, TN 38138
Phone (901) 322-9080

6005 Park Ave
Ste 700
Memphis, TN 38119
Phone (901) 527-3391

1588 Union Ave
Memphis, TN 38104
Phone (901) 276-2410

1290 Kelley Dr
Paris, TN 38242
Phone (270) 554-0011

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1243900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742601600000",
    "number": "1417183633",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N AIRLITE ST",
            "address_2": "DEPARTMENT OF PATHOLOGY",
            "city": "ELGIN",
            "state": "IL",
            "postal_code": "601234912",
            "telephone_number": "847-695-3200",
            "fax_number": "847-931-5778"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "800 PRUDENTIAL DR",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "322078211",
            "telephone_number": "904-202-1041"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "77 N Airlite St",
            "address_2": "Department of Pathology",
            "address_purpose": "LOCATION",
            "city": "Elgin",
            "state": "IL",
            "postal_code": "601234912",
            "country_code": "US",
            "telephone_number": "847-695-3200",
            "fax_number": "847-931-5778",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "WESLEY",
        "middle_name": "BLAKE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2009-06-02",
        "last_updated": "2025-03-22",
        "certification_date": "2025-03-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "IL",
            "license": "036130363",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "FL",
            "license": "ME128023",
            "primary": false
        },
        {
            "code": "207ZB0001X",
            "taxonomy_group": "",
            "desc": "Pathology, Blood Banking & Transfusion Medicine",
            "state": "GA",
            "license": "81350",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "IL",
            "license": "036130363",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "GA",
            "license": "81350",
            "primary": false
        },
        {
            "code": "207ZP0102X",
            "taxonomy_group": "",
            "desc": "Pathology, Anatomic Pathology & Clinical Pathology",
            "state": "FL",
            "license": "ME128023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125056229",
            "state": "IL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.