Individual provider Active NPI

Ernest J Jones, MD

  • Family Medicine Physician
  • Smithville, TN
National Provider Identifier
1639152176
Registry record updated Apr 27, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
27451 Issued in TN
Practice address
414 E Broad St
Smith County Health Dept
Smithville, TN 37166-1815
Phone
(615) 735-0242
Fax
(615) 735-8250
NPI assigned
Nov 29, 2005
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2016

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 27451 TN Primary

Addresses

Primary practice location

414 E Broad St
Smith County Health Dept
Smithville, TN 37166-1815

Mailing address

414 E Broad St
Smith County Health Dept
Smithville, TN 37166-1815
Phone (615) 597-4432

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
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
I20041222000767 TN Practitioner - Family Practice 4688632557 Reassigns benefits to 1 organization
Practice locations: Carthage, TN

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
27451TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Good Health Family Clinic, Inc CurrentSince Dec 1, 2010 Accepting new patients
Carthage Family Healthcare Inc Family Medicine Past Accepting new patients

Locations

414 E Broad St
Smithville, TN 37166
Phone (615) 597-4432

Organizations & group practices 2

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": "1133222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1461715200000",
    "number": "1639152176",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "414 E BROAD ST",
            "address_2": "SMITH COUNTY HEALTH DEPT",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661815",
            "telephone_number": "615-597-4432",
            "fax_number": "615-597-4434"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "414 E BROAD ST",
            "address_2": "SMITH COUNTY HEALTH DEPT",
            "city": "SMITHVILLE",
            "state": "TN",
            "postal_code": "371661815",
            "telephone_number": "615-735-0242",
            "fax_number": "615-735-8250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ERNEST",
        "middle_name": "J",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-11-29",
        "last_updated": "2016-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "27451",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Smithville, TN

Sources for this page

Verify at the official NPI Registry.