Active NPI
Timothy Alvin Jones, PA-C
- Physician Assistant
- Newport, TN
National Provider Identifier
1427097997
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 1312
- 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, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P00350202 | Other | TN | RAILROAD MEDICARE |
| 4133702 | Other | TN | BC 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
Enrollment records 1
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
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
| License | State | Type | Specialty |
|---|---|---|---|
| 1312 | TN | MD | Speech-Language Pathologist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Nurse Practitioner
- Lawrenceburg, TN
- NPI 1053351593
-
dba Afc Urgent Care
- Urgent Care Clinic/Center
- Charlotte, NC
- NPI 1679066658
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.