Individual provider Active NPI

Timothy Alvin Jones, PA-C

  • Physician Assistant
  • Newport, TN
National Provider Identifier
1427097997
Registry record updated Nov 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
1312 Issued in TN
Practice address
435 2ND St
Newport, TN 37821-3703
Phone
(865) 985-7234
Fax
(865) 985-7077
NPI assigned
Jun 6, 2006
Last updated
Nov 6, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 6, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X 1312 TN Primary

Addresses

Primary practice location

435 2ND St
Newport, TN 37821-3703

Mailing address

PO Box 634909
Cincinnati, OH 45263-4909
Phone (865) 985-7234

Other identifiers 2

IdentifierTypeStateIssuer
P00350202OtherTNRAILROAD MEDICARE
4133702OtherTNBC BS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20061212000688 TN Practitioner - Physician Assistant 3577562966 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
DX Mso PLLCGroup PAC ID 7719131101, 88 clinicians

Practice addresses (Care Compare)

713 Winfield Dunn Pkwy
Suite 9
Sevierville, TN 37876-5533
Phone (423) 458-1426

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

State licenses

LicenseStateTypeSpecialty
1312TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Afc Urgent Care and Family Care of WNC, PLLC Past Accepting new patients

Organizations & group practices 4

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": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194307200000",
    "number": "1427097997",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 634909",
            "city": "CINCINNATI",
            "state": "OH",
            "postal_code": "452634909",
            "telephone_number": "865-985-7234",
            "fax_number": "865-985-7077"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "435 2ND ST",
            "city": "NEWPORT",
            "state": "TN",
            "postal_code": "378213703",
            "telephone_number": "865-985-7234",
            "fax_number": "865-985-7077"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TIMOTHY",
        "middle_name": "ALVIN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2007-11-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "TN",
            "license": "1312",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00350202",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BC BS",
            "identifier": "4133702",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport, TN

Sources for this page

Verify at the official NPI Registry.