Organization Active NPI

Timothy J Jones MD LLC

Doing business as Timothy John Jones

  • Internal Medicine Physician
  • Charleston, SC
National Provider Identifier
1699038364
Registry record updated Jun 19, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
16178 Issued in SC
Legal business name
TIMOTHY J JONES MD LLC
Doing business as
Timothy John Jones
Practice address
2270 Ashley Crossing Dr.
Suite 190
Charleston, SC 29414-5749
Phone
(843) 766-8220
Fax
(843) 766-8230
NPI assigned
Jun 19, 2012
Last updated
Jun 19, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 19, 2012

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

Authorized official

Name
Dr. Timothy J. Jones, M.D.NPI 1689613101
Title
President
Phone
(843) 766-8220

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 16178 SC Primary

Addresses

Primary practice location

2270 Ashley Crossing Dr.
Suite 190
Charleston, SC 29414-5749

Mailing address

2270 Ashley Crossing Dr.
Suite 190
Charleston, SC 29414-5749
Phone (843) 766-8220

Other names 1

  • Timothy John Jones Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120807000615 SC Part B Supplier - Clinic/Group Practice 1254587256 Receives reassigned benefits from 2 practitioners
Practice locations: Charleston, SC

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
42D1102867Timothy Jones MD2270 Ashley Crossing Dr, Ste 190, Charleston, SC 29414Certificate of waiverJul 27, 2027

National Provider Directory

National Provider Directory

Locations

2270 Ashley Crossing Dr
Ste 190
Charleston, SC 29414
Phone (843) 766-3700

Practitioners & affiliated clinicians

Practitioners 2

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": "1340064000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340064000000",
    "number": "1699038364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR.",
            "address_2": "SUITE 190",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145749",
            "telephone_number": "843-766-8220",
            "fax_number": "843-766-8230"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 ASHLEY CROSSING DR.",
            "address_2": "SUITE 190",
            "city": "CHARLESTON",
            "state": "SC",
            "postal_code": "294145749",
            "telephone_number": "843-766-8220",
            "fax_number": "843-766-8230"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TIMOTHY J JONES MD LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-19",
        "last_updated": "2012-06-19",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "TIMOTHY",
        "authorized_official_middle_name": "J.",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "843-766-8220",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "SC",
            "license": "16178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Timothy John Jones",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Charleston, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 19, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.