Individual provider Active NPI

Clyde Michael Jones, M.D.

  • Hematology & Oncology Physician
  • Memphis, TN
National Provider Identifier
1477557064
Registry record updated Jun 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hematology & Oncology PhysicianTaxonomy code 207RH0003X
License
26351 Issued in TN
Practice address
80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363
Phone
(901) 752-6131
Fax
(901) 751-6170
NPI assigned
Jun 10, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 22, 2021

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hematology & Oncology Physician 207RH0003X 157412 MS
Hematology & Oncology Physician 207RH0003X 26351 TN Primary

Addresses

Primary practice location

80 Humphreys Center Dr Ste 330
Memphis, TN 38120-2363

Mailing address

965 Ridge Lake Blvd Ste 103
Memphis, TN 38120-9446

Other practice location 1

391 Southcrest Cir Ste 101
Southaven, MS 38671-4848
Phone (662) 349-0755

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, MS, TX3 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 3

Enrollment IDStateProvider typePAC IDDetails
I20040302000371 TN Practitioner - Hematology/Oncology 0042105066 Reassigns benefits to 1 organization
I20120313000758 MS Practitioner - Hematology/Oncology 0042105066 Reassigns benefits to 2 organizations
I20230720003125 TX Practitioner - Hematology/Oncology 0042105066 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
157412MSMDHematology & Oncology Physician
26351TNMDHematology & Oncology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Singing River Health System CurrentSince Sep 8, 2024 Accepting new patients
Hendrick Provider Network Hematology & Oncology CurrentSince Jul 1, 2023 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 13, 2018 Accepting new patients
Baptist Memorial Hospital-Tipton CurrentSince Nov 13, 2018 Accepting new patients
Hendrick Provider Network CurrentSince Jul 1, 2023 Accepting new patients
Singing River Gulfport CurrentSince Nov 6, 2023 Accepting new patients
Singing River Gulfport CurrentSince Nov 6, 2023 Accepting new patients
The Jones Clinic, PC Past Accepting new patients
Ozarks Medical Center Past Accepting new patients
The Jones Clinic, PC Past Accepting new patients
C Michael Jones MDPC Past Accepting new patients

Locations

350 Cowan Rd
Gulfport, MS 39507
Phone (228) 206-7054

3535 Bienville Blvd
Ocean Springs, MS 39564
Phone (228) 818-1111

2809 Denny Ave
Pascagoula, MS 39581
Phone (228) 809-5000

1995 Highway 51 S
Covington, TN 38019
Phone (901) 476-2621

80 Humphreys Center Dr
Ste 330
Memphis, TN 38120
Phone (901) 752-6131

1904 Pine St
Ste 4A
Abilene, TX 79601
Phone (325) 437-4020

1501 Burnet Rd
Brownwood, TX 76801
Phone (325) 646-8541

Organizations & group practices 11

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": "1118361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1624320000000",
    "number": "1477557064",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "965 RIDGE LAKE BLVD STE 103",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381209446",
            "fax_number": "901-227-8591"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "80 HUMPHREYS CENTER DR STE 330",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381202363",
            "telephone_number": "901-752-6131",
            "fax_number": "901-751-6170"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "391 Southcrest Cir Ste 101",
            "address_purpose": "LOCATION",
            "city": "Southaven",
            "state": "MS",
            "postal_code": "386714848",
            "country_code": "US",
            "telephone_number": "662-349-0755",
            "fax_number": "662-349-0356",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CLYDE",
        "middle_name": "MICHAEL",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-06-10",
        "last_updated": "2021-06-22",
        "certification_date": "2021-06-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "MS",
            "license": "157412",
            "primary": false
        },
        {
            "code": "207RH0003X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Hematology & Oncology",
            "state": "TN",
            "license": "26351",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

Verify at the official NPI Registry.