Individual provider Active NPI

Christine M Jones, D.O.

  • Family Medicine Physician
  • Lone Tree, CO
National Provider Identifier
1710183397
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
57514 Issued in CO
Practice address
10455 Park Meadows Dr Unit 102
Lone Tree, CO 80124-5599
Phone
(303) 708-0246
Fax
(303) 708-0247
NPI assigned
Jun 21, 2007
Last updated
Jul 21, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Student in an Organized Health Care Education/Training Program 390200000X 058885 GA
Family Medicine Physician 207Q00000X 58885 GA
Family Medicine Physician 207Q00000X 57514 CO Primary
Adult Medicine Physician 207QA0505X DOS-1511 HI

Addresses

Primary practice location

10455 Park Meadows Dr Unit 102
Lone Tree, CO 80124-5599

Mailing address

10455 Park Meadows Dr
BLDG 1 Unit 102
Lone Tree, CO 80214
Phone (303) 708-0246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20110114000320 GA Practitioner - Family Practice 4880883370 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Serena D. Tidwell, M.D., P.C.Group PAC ID 9931291226, 16 clinicians

Practice addresses (Care Compare)

3081 Williams Rd
Unit a
Columbus, GA 31909-5716
Phone (706) 320-2547

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
57514COMDFamily Medicine Physician
58885GAMDFamily Medicine Physician
058885GAMDStudent in an Organized Health Care Education/Training Program

Practice roles

OrganizationSpecialtyStatusNew patients
Rrsoc LLC CurrentSince Jan 1, 2023 Accepting new patients
Serena D. Tidwell, M.D., P.C. CurrentSince Jan 1, 2023 Accepting new patients

Locations

1538 13th Ave
Ste B200
Columbus, GA 31901
Phone (706) 320-2547

1538 13th Ave
Ste C200
Columbus, GA 31901
Phone (706) 320-2547

3081 Williams Rd
Unit A
Columbus, GA 31909
Phone (706) 320-2547

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, 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": "1182384000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1710183397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10455 PARK MEADOWS DR",
            "address_2": "BLDG 1 UNIT 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "80214",
            "telephone_number": "303-708-0246",
            "fax_number": "303-708-0247"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10455 PARK MEADOWS DR UNIT 102",
            "city": "LONE TREE",
            "state": "CO",
            "postal_code": "801245599",
            "telephone_number": "303-708-0246",
            "fax_number": "303-708-0247"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CHRISTINE",
        "middle_name": "M",
        "name_prefix": "Dr.",
        "credential": "D.O.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-06-21",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": "GA",
            "license": "058885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "58885",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "CO",
            "license": "57514",
            "primary": true
        },
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "HI",
            "license": "DOS-1511",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lone Tree, CO

Sources for this page

Verify at the official NPI Registry.