Individual provider Active NPI

William R Jones, MD

  • Family Medicine Physician
  • Fayetteville, TN
National Provider Identifier
1740259589
Registry record updated Apr 3, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
MD10005 Issued in TN
Practice address
207 Elk Ave S
Fayetteville, TN 37334-3051
Phone
(931) 433-2551
Fax
(931) 433-1142
NPI assigned
Mar 15, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 3, 2017

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 MD10005 TN Primary

Addresses

Primary practice location

207 Elk Ave S
Fayetteville, TN 37334-3051

Mailing address

207 Elk Ave S
Fayetteville, TN 37334-3051
Phone (931) 433-2551

Other identifiers 1

IdentifierTypeStateIssuer
3178982MedicaidTN

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
I20100915000878 TN Practitioner - Family Practice 1153235395 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare

Merit-based Incentive Payment System (MIPS)

Final score
88.33 of 100Reported as apm
Quality
82.81
Promoting interoperability
83.07
Improvement activities
40

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD10005TNMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients
HH Health System - Lincoln Inc CurrentSince Dec 1, 2024 Accepting new patients
HH Physician Care-Fayetteville Medical Associates Family Medicine CurrentSince Apr 15, 2017 Accepting new patients

Locations

207 Elk Ave S
Fayetteville, TN 37334
Phone (931) 433-2551

108 Medical Center Blvd
Ste 150
Fayetteville, TN 37334
Phone (931) 433-1105

Interoperability endpoints

  • Direct secure messaging: william.jones.1@21536.direct.athenahealth.com
  • Direct secure messaging: williamjones@fmapc.allscriptsdirect.net

Organizations & group practices 3

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": "1142380800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1491177600000",
    "number": "1740259589",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ELK AVE S",
            "city": "FAYETTEVILLE",
            "state": "TN",
            "postal_code": "373343051",
            "telephone_number": "931-433-2551",
            "fax_number": "931-433-1142"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "R",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-03-15",
        "last_updated": "2017-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TN",
            "license": "MD10005",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3178982",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, TN

Sources for this page

Verify at the official NPI Registry.