NPIMap

Organization Active NPI

Jones Family Medicine Clinic, PLLC

Doing business as JFMC The Q, LLC

  • Primary Care Clinic/Center
  • Laurel, MS
National Provider Identifier
1801222898
Registry record updated Oct 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
JONES FAMILY MEDICINE CLINIC, PLLC
Doing business as
JFMC The Q, LLC
Practice address
235 S 14TH Ave
Laurel, MS 39440-4227
Phone
(601) 425-0092
NPI assigned
Sep 23, 2013
Last updated
Oct 4, 2013By the provider in NPPES
Organization subpart
Yes
Parent organization
JONES FAMILY MEDICINE CLINIC, PLLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 4, 2013

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

Authorized official

Name
Kaye D Jones
Title
Business Manager
Phone
(601) 425-0092

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

235 S 14TH Ave
Laurel, MS 39440-4227

Mailing address

235 S 14TH Ave
Laurel, MS 39440-4227

Other names 1

  • JFMC The Q, LLC Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050921000315 MS Part B Supplier - Clinic/Group Practice 6406880368 Receives reassigned benefits from 24 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Bay Springs, MS; Quitman, MS; Laurel, MS; Heidelberg, MS; Ellisville, MS

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
25D2068149JFMC the Q LLC235 South 14TH Avenue, Laurel, MS 39440Certificate of waiverApr 21, 2028

National Provider Directory

National Provider Directory
Tax ID family
JFMC Ellisville LLC7 organizations share this tax ID, including this one
Part of
JFMC Ellisville LLC

Other organizations with this tax ID 6

Organizations that report the same tax identification number in the National Provider Directory.

Locations

235 S 14th Ave
Laurel, MS 39440
Phone (601) 425-0092

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1379894400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1380844800000",
    "number": "1801222898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "235 S 14TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404227"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "235 S 14TH AVE",
            "city": "LAUREL",
            "state": "MS",
            "postal_code": "394404227",
            "telephone_number": "601-425-0092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JONES FAMILY MEDICINE CLINIC, PLLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "JONES FAMILY MEDICINE CLINIC, PLLC",
        "enumeration_date": "2013-09-23",
        "last_updated": "2013-10-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KAYE",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "601-425-0092"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JFMC The Q, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Laurel, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 4, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.