Alicia Jones, MD PC
Organization Active NPI Clinic/Center · Sandy, UT
NPI 1447569702 · NPPES record last updated Mar 30, 2026
Key facts
- NPI
- 1447569702
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- License
- 7641755-1205 (UT)
- Legal business name
- ALICIA JONES, MD PC
- Practice address
- 9600 S 1300 E Ste 40
Sandy, UT 84094-3762 - Phone
- (801) 571-7777
- Fax
- (801) 523-1848
- NPI assigned
- Oct 4, 2010
- Organization subpart
- No
Authorized official
- Name
- Alicia T Jones, M.D.
- Title
- Physician
- Phone
- (801) 571-7777
Practitioners 4
-
Alicia Tabish Jones, M.D.
-
Leon W Hansen, M.D.
-
Russell A Smith, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in UT
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20101215000608 | UT | Part B Supplier - Clinic/Group Practice | 5294922365 |
Receives reassigned benefits from 1 practitioner Practice locations: Sandy, UT |
National Provider Directory
Locations
9600 S 1300 E
Ste 300
Sandy, UT 84094
Phone (801) 571-7777
9600 S 1300 E
Ste 230
Sandy, UT 84094
Phone (801) 571-7777
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | 7641755-1205 | UT | Yes |
Addresses
Primary practice location
9600 S 1300 E Ste 40
Sandy, UT 84094-3762
Mailing address
9600 S 1300 E Ste 40
Sandy, UT 84094-3762
Phone (801) 571-7777
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 624033441001 | Medicaid | UT |
Other providers in Sandy, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 30, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.