Organization Active NPI

Jerry a. Jones, M.D., P.a.

  • Gastroenterology Physician
  • Charlotte, NC
National Provider Identifier
1669429460
Registry record updated Mar 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
00-23388 Issued in NC
Legal business name
JERRY A. JONES, M.D., P.A.
Practice address
700 S Torrence St
Suite 110
Charlotte, NC 28204-3077
Phone
(704) 332-2272
Fax
(704) 374-9201
NPI assigned
May 27, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 7, 2023

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

Authorized official

Name
Dr. Jerry Anthony Jones, MD
Title
Owner
Phone
(704) 332-2272

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 207RG0100X 00-23388 NC Primary

Addresses

Primary practice location

700 S Torrence St
Suite 110
Charlotte, NC 28204-3077

Mailing address

700 S Torrence St
Suite 110
Charlotte, NC 28204-3077
Phone (704) 332-2272

Other identifiers 1

IdentifierTypeStateIssuer
8947061MedicaidNC

National Provider Directory

National Provider Directory

Locations

700 S Torrence St
Ste 110
Charlotte, NC 28204
Phone (704) 332-2272

NPI Registry JSON

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

{
    "created_epoch": "1148688000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1678147200000",
    "number": "1669429460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "700 S TORRENCE ST",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043077",
            "telephone_number": "704-332-2272",
            "fax_number": "704-374-9201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "700 S TORRENCE ST",
            "address_2": "SUITE 110",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282043077",
            "telephone_number": "704-332-2272",
            "fax_number": "704-374-9201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JERRY A. JONES, M.D., P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-27",
        "last_updated": "2023-03-07",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JERRY",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-332-2272",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NC",
            "license": "00-23388",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8947061",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.