Individual provider Active NPI

Kyle Elliott Jones, M.D.

  • Family Medicine Physician
  • Paris, TX
National Provider Identifier
1609930056
Registry record updated Jan 28, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
K8239 Issued in TX
Practice address
3154 Clarksville St
Paris, TX 75460-8015
Phone
(903) 785-4600
Fax
(903) 782-9150
NPI assigned
Dec 20, 2006
Last updated
Jan 28, 2014By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 28, 2014

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 K8239 TX Primary

Addresses

Primary practice location

3154 Clarksville St
Paris, TX 75460-8015

Mailing address

PO Box 99
Paris, TX 75461-0099
Phone (903) 785-4600

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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
I20240311003107 TX Practitioner - Family Practice 3577461425

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
0000000TXMDHospice Registered Nurse
K8239TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Occupational Medicine Services Plus PLLC CurrentSince Aug 4, 2023 Accepting new patients
Kyle E. Jones, M.D., P.a. Past Accepting new patients
Puckett Family Clinic, P.C. PastSince Apr 1, 2008 Accepting new patients
Paris Family Physicians,PA Family Medicine PastSince May 24, 2001 Accepting new patients
Red River Valley Radiology Associates Past Accepting new patients
Essent PRMC LP Past Accepting new patients

Locations

4801 Wesley St
Greenville, TX 75401
Phone (903) 249-6551

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.72596

Ownership & related parties

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Puckett Family ClinicHoney Grove, TX, CCN 673919 Rural health clinic Contracted Managing Employee (10%) Jan 1, 2016

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1390867200000",
    "number": "1609930056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 99",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754610099",
            "telephone_number": "903-785-4600",
            "fax_number": "903-782-9150"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3154 CLARKSVILLE ST",
            "city": "PARIS",
            "state": "TX",
            "postal_code": "754608015",
            "telephone_number": "903-785-4600",
            "fax_number": "903-782-9150"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "ELLIOTT",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-20",
        "last_updated": "2014-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "K8239",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Paris, TX

Sources for this page

Verify at the official NPI Registry.