Gary M Jones Jr., FNP-C

Primary specialty

Nurse PractitionerTaxonomy code 363L00000X

License

4704350026 Issued in MI

Practice address

25710 Kelly Rd Ste 1
Roseville, MI 48066-4959

Phone

(586) 772-2600

NPI assigned

Jun 18, 2024

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MI

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 1

Specialty

Nurse Practitioner

Education

Other, 2023

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Nephro-Care MD PLCGroup PAC ID 3971813635, 9 clinicians

Kidney Consultants of Michigan PCGroup PAC ID 2163464520, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Henry Ford Health Warren Hospital Hospital, Warren, MI, CCN 230195
• Garden City Hospital Hospital, Garden City, MI, CCN 230244
• Ascension Providence Hospital, Southfield and Novi Hospital, Southfield, MI, CCN 230019
• Beaumont Hospital - Dearborn Hospital, Dearborn, MI, CCN 230020

Medicare enrollment (NPD)

Enrolled

Credentials

Nurse Practitioner

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: gjones2561374@epic00.corewelldirect.org
• Direct secure messaging: gjones489379@direct.hfhs.org

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.

• Kidney Consultants of Michigan PC

  • Nephrology Physician
  • Roseville, MI
  • NPI 1932396496

  MI

  Medicare reassignment Care Compare group NPD
• Nephro-Care MD PLC

  • Nephrology Physician
  • Detroit, MI
  • NPI 1336510072

  MI

  Medicare reassignment Care Compare group NPD

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

• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Warren, MI
  • NPI 1124099858

  Hospital

  Care Compare affiliation
• Henry Ford Health Macomb Oakland Hospital

  • General Acute Care Hospital
  • Madison Heights, MI
  • NPI 1215139233

  Hospital

  Care Compare affiliation
• Henry Ford Health Providence Hospital

  • General Acute Care Hospital
  • Novi, MI
  • NPI 1144210253

  Hospital

  Care Compare affiliation
• Oakwood Healthcare Inc

  • Community Health Clinic/Center
  • Dearborn, MI
  • NPI 1790414670

  Hospital

  Care Compare affiliation
• Oakwood Healthcare, Inc.

  • General Acute Care Hospital
  • Dearborn, MI
  • NPI 1740230119

  Hospital

  Care Compare affiliation
• Prime Healthcare Services - Garden City LLC

  • General Acute Care Hospital
  • Garden City, MI
  • NPI 1043625940

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1718668800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718668800000",
    "number": "1760225577",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25968 TIMBERLINE DR",
            "city": "WARREN",
            "state": "MI",
            "postal_code": "480916016"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25710 KELLY RD STE 1",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480664959",
            "telephone_number": "586-772-2600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GARY",
        "middle_name": "M",
        "name_prefix": "Mr.",
        "name_suffix": "Jr.",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-18",
        "last_updated": "2024-06-18",
        "certification_date": "2024-05-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "MI",
            "license": "4704350026",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Varghese John
• Johnson Medical Center, PC
• Alicia Marie Johnson, O.D.
• Linda Johnson, RN
• Neveen Amir Jolagh
• Jordan Jones
• Tyeshia Jones
• Joram O Mogaka MD PC
• Jomy Jose, NP
• Mouhammed Joumaa, MD

• All providers in Roseville, MI
• Nurse Practitioner in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.