Jones Community Health Center, LLC

Primary specialty

Community Health Clinic/CenterTaxonomy code 261QC1500X

License

3298622 Issued in FL

Legal business name

JONES COMMUNITY HEALTH CENTER, LLC

Practice address

115 Shadow Pond
Dublin, GA 31021

Phone

(850) 694-9864

Fax

(850) 270-2452

NPI assigned

Dec 11, 2015

Organization subpart

No

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

Authorized official

Name

Oretha D Jones, ARNP

Title

Ceo/Owner

Phone

(850) 694-9864

Specialties & licenses 1

Addresses

Other identifiers 2

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

{
    "created_epoch": "1449792000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1801261177",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 SHADOW POND",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "310216416",
            "telephone_number": "850-694-9864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 SHADOW POND",
            "city": "DUBLIN",
            "state": "GA",
            "postal_code": "31021",
            "telephone_number": "850-694-9864",
            "fax_number": "850-270-2452"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "680 Maple St",
            "address_purpose": "LOCATION",
            "city": "Chattahoochee",
            "state": "FL",
            "postal_code": "323241826",
            "country_code": "US",
            "telephone_number": "850-408-1293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "JONES COMMUNITY HEALTH CENTER, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-12-11",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "ORETHA",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "850-694-9864",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": "FL",
            "license": "3298622",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801261177",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "018872300",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rodney Marc Johnson, M.D.
• Ronald E. Johnson
• Tara Johnson
• Toccara Johnson, PMHNP
• Tina Jolly, MSN, APRN, NP-C
• Cameron Paige Jones
• Cecilia S. Jones, CTRS
• Eric L Jones, CRT
• James Young Jones, M.D.
• Jeffery Patron Jones, CAC

• Community Health Clinic/Center in Dublin, GA
• Providers in Dublin, GA by specialty
• Community Health Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2018; 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.