Active NPI
John Richard Jones, M.D.
- Gastroenterology Physician
- Fayetteville, NC
National Provider Identifier
1487670287
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- 31843
- Practice address
- 2041 Valleygate Dr
Fayetteville, NC 28304-3688 - Phone
- (910) 323-5203
- Fax
- (910) 223-1621
- NPI assigned
- Jul 14, 2006
- Last updated
- Jul 1, 2015
- 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 |
|---|---|---|---|---|
| Gastroenterology Physician | 207RG0100X | 31843 | NC | Primary |
Addresses
Primary practice location
2041 Valleygate Dr
Fayetteville, NC 28304-3688
Mailing address
2041 Valleygate Dr
Fayetteville, NC 28304-3745
Phone (910) 323-5203
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1784482-002 | Other | CIGNA | |
| 47134 | Other | BCBS | |
| 7947134 | Medicaid | NC |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Organizations & group practices 1
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.
-
- Contractor
- Fayetteville, NC
- NPI 1669620720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152835200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1435708800000",
"number": "1487670287",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2041 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043745",
"telephone_number": "910-323-5203",
"fax_number": "910-323-3650"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2041 VALLEYGATE DR",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283043688",
"telephone_number": "910-323-5203",
"fax_number": "910-223-1621"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHN",
"middle_name": "RICHARD",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-07-14",
"last_updated": "2015-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "NC",
"license": "31843",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1784482-002",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "47134",
"state": null
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "7947134",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.