Individual provider Active NPI

Tammy R Jones, M.D.

  • Family Medicine Physician
  • Monroe, LA
National Provider Identifier
1619980380
Registry record updated Jul 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
08533R Issued in TX
Practice address
4864 Jackson St
Department of Family Medicine
Monroe, LA 71202
Phone
(318) 330-7626
Fax
(318) 330-7648
NPI assigned
Aug 14, 2006
Last updated
Jul 29, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 29, 2010

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 08533R TX Primary

Addresses

Primary practice location

4864 Jackson St
Department of Family Medicine
Monroe, LA 71202

Mailing address

4864 Jackson St
Department of Family Medicine
Monroe, LA 71202-6400
Phone (318) 330-7626

Other identifiers 1

IdentifierTypeStateIssuer
1986208MedicaidLA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA
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
I20101019001429 LA Practitioner - Family Practice 8224221551 Reassigns benefits to 2 organizations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
08533RTXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Pinnacle Family Health Inc CurrentSince Jun 1, 2015 Accepting new patients
Brfhh Monroe LLC CurrentSince Jan 1, 2015 Accepting new patients
Brfhh Monroe LLC Family Medicine CurrentSince Jan 1, 2015 Accepting new patients

Locations

4864 Jackson St
Monroe, LA 71202
Phone (318) 330-7000

1541 Kings Hwy
Shreveport, LA 71103
Phone (318) 626-0287

101 Crosley St
West Monroe, LA 71291
Phone (318) 325-1092

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DFGJBD

Organizations & group practices 3

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": "1155513600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1280361600000",
    "number": "1619980380",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "712026400",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4864 JACKSON ST",
            "address_2": "DEPARTMENT OF FAMILY MEDICINE",
            "city": "MONROE",
            "state": "LA",
            "postal_code": "71202",
            "telephone_number": "318-330-7626",
            "fax_number": "318-330-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAMMY",
        "middle_name": "R",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-14",
        "last_updated": "2010-07-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "08533R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1986208",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Monroe, LA

Sources for this page

Verify at the official NPI Registry.