NPIMap

Individual provider Active NPI

Larry Mitchell Jones, DO

  • Internal Medicine Physician
  • Salisbury, NC
National Provider Identifier
1770655896
Registry record updated Jan 5, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
9600960 Issued in NC
Practice address
1245 Camp Rd
Salisbury, NC 28147-9233
Phone
(704) 639-7540
Fax
(704) 639-7585
NPI assigned
Nov 14, 2006
Last updated
Jan 5, 2017By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 5, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Neuromusculoskeletal Medicine & OMM Physician 204D00000X 9600960 NC
Emergency Medicine Physician 207P00000X 9600960 NC
Internal Medicine Physician 207R00000X 9600960 NC Primary

Addresses

Primary practice location

1245 Camp Rd
Salisbury, NC 28147-9233

Mailing address

7328 Canyon Dr
Charlotte, NC 28262-3252
Phone (704) 596-8704

Other identifiers 1

IdentifierTypeStateIssuer
P00344333OtherRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
9600960NCMDEmergency Medicine Physician
040982GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
BJC Medical Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Wendy L Smith M.D. PC Past Accepting new patients
North Georgia Emergency Physicians, LLC Emergency Medicine Past Accepting new patients
Cogent Healthcare of North Carolina, PC Internal Medicine Past Accepting new patients
Jesup Emergency Services, LLC Emergency Medicine Past Accepting new patients
Sterling Emergency Services of the Southeast Inc Emergency Medicine Past Accepting new patients

Organizations & group practices 6

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": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483574400000",
    "number": "1770655896",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7328 CANYON DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282623252",
            "telephone_number": "704-596-8704",
            "fax_number": "704-596-8704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1245 CAMP RD",
            "city": "SALISBURY",
            "state": "NC",
            "postal_code": "281479233",
            "telephone_number": "704-639-7540",
            "fax_number": "704-639-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LARRY",
        "middle_name": "MITCHELL",
        "name_prefix": "Dr.",
        "credential": "DO",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-11-14",
        "last_updated": "2017-01-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204D00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine & OMM",
            "state": "NC",
            "license": "9600960",
            "primary": false
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "NC",
            "license": "9600960",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "NC",
            "license": "9600960",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00344333",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Salisbury, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.