NPIMap

Individual provider Active NPI

David J Jones, PAC

  • Physician Assistant
  • Daytona Beach, FL
National Provider Identifier
1750323978
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
PA3156 Issued in FL
Practice address
721 S Beach St Apt 214a
Daytona Beach, FL 32114-5404
Phone
(727) 859-6125
Fax
(727) 859-6125
NPI assigned
Jun 12, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physician Assistant 363A00000X PA3156 FL Primary

Addresses

Primary practice location

721 S Beach St Apt 214a
Daytona Beach, FL 32114-5404

Mailing address

721 S Beach St Apt 214a
Daytona Beach, FL 32114-5404
Phone (727) 859-6125

Other identifiers 1

IdentifierTypeStateIssuer
101764OtherNCNC LICENSE NUMBER

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Baxley Emergency Physicians LLC Past Accepting new patients
Florida Em-I Medical Services, PA Past Accepting new patients
Sterthaus ER SVCS Partnership LLC Past Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Brevard Emergency Services Past Accepting new patients

Organizations & group practices 5

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": "1150070400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1750323978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 S BEACH ST APT 214A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145404",
            "telephone_number": "727-859-6125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "721 S BEACH ST APT 214A",
            "city": "DAYTONA BEACH",
            "state": "FL",
            "postal_code": "321145404",
            "telephone_number": "727-859-6125",
            "fax_number": "727-859-6125"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DAVID",
        "middle_name": "J",
        "name_prefix": "Mr.",
        "credential": "PAC",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-12",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA3156",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NC LICENSE NUMBER",
            "identifier": "101764",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Daytona Beach, FL

Sources for this page

Verify at the official NPI Registry.