Individual provider Active NPI

Shavon C Jones, MD

  • Family Medicine Physician
  • Newport News, VA
National Provider Identifier
1528047610
Registry record updated Aug 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
0101235197 Issued in VA
Practice address
4717 Marshall Ave
Newport News, VA 23607-2225
Phone
(757) 380-8709
Fax
(757) 928-0902
NPI assigned
Jan 17, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 29, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0101235197 VA Primary

Addresses

Primary practice location

4717 Marshall Ave
Newport News, VA 23607-2225

Mailing address

4717 Marshall Ave
Newport News, VA 23607-2225
Phone (757) 380-8709

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in VA
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 1

Enrollment IDStateProvider typePAC IDDetails
I20051228000493 VA Practitioner - Family Practice 7214959659 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Wayne State University School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Peninsula Institute for Community Health IncGroup PAC ID 9234040148, shared by 14 NPIs, 9 clinicians

Practice addresses (Care Compare)

1357 Armory Dr
Franklin, VA 23851-2419
Phone (757) 304-5570

Hospital & facility affiliations

  • Sentara Obici Hospital Hospital, Suffolk, VA, CCN 490044
  • Sentara Leigh Hospital Hospital, Norfolk, VA, CCN 490046

National Provider Directory

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peninsula Institute for Community Health Inc CurrentSince Apr 4, 2018 Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Oct 3, 2005 Accepting new patients
Peninsula Institute for Community Health Inc CurrentSince Oct 3, 2005 Accepting new patients
Peninsula Institute for Community Health Inc Current Accepting new patients
Peninsula Institute for Community Health Inc Past Accepting new patients

Locations

490 Liberty St
Ste C
Chesapeake, VA 23324
Phone (757) 218-1288

1357 Armory Dr
Franklin, VA 23851
Phone (757) 304-5570

15425 Warwick Blvd
Ste H
Newport News, VA 23608
Phone (757) 874-8400

1033 28th St
Fl 2
Newport News, VA 23607
Phone (757) 591-0643

4714 Marshall Ave
Newport News, VA 23607
Phone (757) 380-8709

1033 28th St
Newport News, VA 23607
Phone (757) 591-0643

157 N Main St
Ste A
Suffolk, VA 23434
Phone (757) 925-1866

156 Burnetts Way
Suffolk, VA 23434
Phone (757) 934-6470

104 N Witchduck Rd
Virginia Beach, VA 23462
Phone (757) 385-2437

Interoperability endpoints

  • Direct secure messaging: shavon.jones@sevhs.eclinicaldirectplus.com

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1137456000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1188345600000",
    "number": "1528047610",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4717 MARSHALL AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072225",
            "telephone_number": "757-380-8709",
            "fax_number": "757-928-0902"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4717 MARSHALL AVE",
            "city": "NEWPORT NEWS",
            "state": "VA",
            "postal_code": "236072225",
            "telephone_number": "757-380-8709",
            "fax_number": "757-928-0902"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SHAVON",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-01-17",
        "last_updated": "2007-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "VA",
            "license": "0101235197",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newport News, VA

Sources for this page

Verify at the official NPI Registry.