Individual provider Active NPI

Takaya Linne Jones, M.D.

  • Family Medicine Physician
  • Jacksonville, FL
National Provider Identifier
1801025424
Registry record updated Mar 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
ME113670 Issued in FL
Practice address
9675 San Jose Blvd
#103
Jacksonville, FL 32257
Phone
(904) 476-0966
NPI assigned
Jul 2, 2009
Last updated
Mar 14, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 14, 2022

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 ME113670 FL Primary

Addresses

Primary practice location

9675 San Jose Blvd
#103
Jacksonville, FL 32257

Mailing address

9675 San Jose Blvd
#103
Jacksonville, FL 32257

Other identifiers 2

IdentifierTypeStateIssuer
006327000MedicaidFL
P01201890OtherFLRAILROAD MEDICARE

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL, GA2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20120904000178 FL Practitioner - Family Practice 2860649480 Reassigns benefits to 2 organizations
I20250609000707 GA Practitioner - Family Practice 2860649480 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
University of Mississippi School of Medicine, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Elbert Memorial HospitalGroup PAC ID 6800889841, 4 clinicians

Practice addresses (Care Compare)

1087 E Franklin St
Suite D
Hartwell, GA 30643-2252
Phone (706) 576-7260

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of nail tissue1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
ME113670FLMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
University of Florida Jacksonville Physicians, Inc. Family Medicine CurrentSince Mar 24, 2020 Accepting new patients
University of Florida Jacksonville Physicians Inc Current Accepting new patients
University of Florida Jacksonville Physicians Inc Family Medicine CurrentSince Mar 24, 2020 Accepting new patients
Elbert Memorial Hospital CurrentSince May 1, 2025 Accepting new patients
University of Florida Jacksonville Physicians, Inc. CurrentSince Mar 24, 2020 Accepting new patients
Baptist Primary Care Inc Family Medicine Past Accepting new patients
Elbert Memorial Hospital Past Accepting new patients

Locations

1255 Lila St
Jacksonville, FL 32208
Phone (904) 244-5700

655 W 8th St
Jacksonville, FL 32209
Phone (904) 244-1680

1029 E Franklin St
Ste D
Hartwell, GA 30643
Phone (706) 283-3151

1087 E Franklin St
Ste D
Hartwell, GA 30643
Phone (706) 283-3151

1089 E Franklin St
Ste D
Hartwell, GA 30643

1089 E Franklin St
Ste D
Hartwell, GA 30643
Phone (706) 576-7260

Interoperability endpoints

  • Direct secure messaging: takaya.jones.1@13373.direct.athenahealth.com

Organizations & group practices 8

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.

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": "1246492800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1647216000000",
    "number": "1801025424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9675 SAN JOSE BLVD",
            "address_2": "#103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9675 SAN JOSE BLVD",
            "address_2": "#103",
            "city": "JACKSONVILLE",
            "state": "FL",
            "postal_code": "32257",
            "telephone_number": "904-476-0966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TAKAYA",
        "middle_name": "LINNE",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-07-02",
        "last_updated": "2022-03-14",
        "certification_date": "2022-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "FL",
            "license": "ME113670",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "006327000",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P01201890",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, FL

Sources for this page

Verify at the official NPI Registry.