NPIMap

Organization Active NPI

Jones Family Medicine Clinic, PLLC

Doing business as Bay Springs Medical Clinic, PLLC

  • Primary Care Clinic/Center
  • Bay Springs, MS
National Provider Identifier
1689769903
Registry record updated May 17, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JONES FAMILY MEDICINE CLINIC, PLLC
Doing business as
Bay Springs Medical Clinic, PLLC
Practice address
2680 Highway 15
Bay Springs, MS 39422-7429
Phone
(601) 764-6972
Fax
(601) 764-6975
NPI assigned
Oct 3, 2006
Last updated
May 17, 2019By the provider in NPPES
Organization subpart
Yes
Parent organization
JONES FAMILY MEDICINE CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 17, 2019

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

Authorized official

Name
Kaye D. Jones
Title
Business Manager
Phone
(601) 425-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

2680 Highway 15
Bay Springs, MS 39422-7429

Mailing address

2680 Highway 15
Bay Springs, MS 39422-7429
Phone (601) 764-6972

Other names 1

  • Bay Springs Medical Clinic, PLLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000315 MS Part B Supplier - Clinic/Group Practice 6406880368 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay Springs, MS; Quitman, MS; Laurel, MS; Heidelberg, MS; Ellisville, MS

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
JFMC Heidelberg LLC7 organizations share this tax ID, including this one
Part of
JFMC Heidelberg LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2680 Highway 15
Bay Springs, MS 39422
Phone (601) 764-6972

1208 Academy Dr
Heidelberg, MS 39439
Phone (601) 787-4906

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1159833600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1558051200000",
    "number": "1689769903",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2680 HIGHWAY 15",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394227429",
            "telephone_number": "601-764-6972",
            "fax_number": "601-764-6975"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2680 HIGHWAY 15",
            "city": "BAY SPRINGS",
            "state": "MS",
            "postal_code": "394227429",
            "telephone_number": "601-764-6972",
            "fax_number": "601-764-6975"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES FAMILY MEDICINE CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONES FAMILY MEDICINE CLINIC, PLLC",
        "enumeration_date": "2006-10-03",
        "last_updated": "2019-05-17",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-425-0092"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bay Springs Medical Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Bay Springs Medical Clinic, PLLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bay Springs, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.