Individual provider Active NPI

Jeremy Ryan Addison Jones, PA

  • Physician Assistant
  • Columbus, OH
National Provider Identifier
1750847166
Registry record updated Mar 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physician AssistantTaxonomy code 363A00000X
License
50.006993RX Issued in OH
Practice address
3870 Townsfair Way # 103-B
Columbus, OH 43219-6173
Phone
(888) 663-6331
Fax
(415) 252-7176
NPI assigned
Feb 11, 2019
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 17, 2025

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 0010-08794 NC
Physician Assistant 363A00000X 027436 NY
Physician Assistant 363A00000X 0010-08794 NC
Physician Assistant 363A00000X 50.006993RX OH Primary

Addresses

Primary practice location

3870 Townsfair Way # 103-B
Columbus, OH 43219-6173

Mailing address

1 Embarcadero Ctr Ste 1900
San Francisco, CA 94111-3723
Phone (415) 658-6791

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, OH, NY3 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
I20190729001093 NC Practitioner - Physician Assistant 4284960212 Reassigns benefits to 1 organization
I20211129002492 OH Practitioner - Physician Assistant 4284960212 Reassigns benefits to 1 organization
I20230131002849 NY Practitioner - Physician Assistant 4284960212 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
University of North Carolina at Chapel Hill School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Mount Sinai School of MedicineGroup PAC ID 0648408575, 29 clinicians
Ohio State University - CapGroup PAC ID 3375434707, 7 clinicians

Practice addresses (Care Compare)

1155 Northern Blvd
Manhasset, NY 11030-3040
Phone (516) 407-4000

12 W 48TH St
New York, NY 10036-1801
Phone (212) 321-7004

3870 Townsfair Way
N 103 B
Columbus, OH 43219-6173
Phone (888) 663-6331

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
50.006993RXOHMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
DLP Frye Medical Group LLC CurrentSince May 13, 2019 Accepting new patients
Ohio State University - Cap Family Medicine CurrentSince Dec 6, 2021 Accepting new patients
Mount Sinai School of Medicine CurrentSince Feb 15, 2023 Accepting new patients
DLP Frye Medical Group LLC Family Medicine CurrentSince May 13, 2019 Accepting new patients

Locations

1105 Fairgrove Church Rd SE
Conover, NC 28613
Phone (828) 267-0551

2810 16th St NE
Hickory, NC 28601
Phone (828) 324-0359

915 Tate Blvd SE
Ste 182
Hickory, NC 28602
Phone (828) 322-2005

3060 Hickory Blvd
Hudson, NC 28638
Phone (828) 728-2080

1470 E Gaston St
Ste 300
Lincolnton, NC 28092
Phone (704) 735-7474

1155 Northern Blvd
Manhasset, NY 11030
Phone (516) 407-4000

3870 Townsfair Way
#103B
Columbus, OH 43219

330 Seven Springs Way
Brentwood, TN 37027
Phone (615) 920-7780

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1549843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742169600000",
    "number": "1750847166",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 EMBARCADERO CTR STE 1900",
            "city": "SAN FRANCISCO",
            "state": "CA",
            "postal_code": "941113723",
            "telephone_number": "415-658-6791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3870 TOWNSFAIR WAY # 103-B",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432196173",
            "telephone_number": "888-663-6331",
            "fax_number": "415-252-7176"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEREMY",
        "middle_name": "RYAN ADDISON",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2019-02-11",
        "last_updated": "2025-03-17",
        "certification_date": "2025-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "NC",
            "license": "0010-08794",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NY",
            "license": "027436",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "NC",
            "license": "0010-08794",
            "primary": false
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "OH",
            "license": "50.006993RX",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

Verify at the official NPI Registry.