Active NPI
Rachel Antonia Jones
- Adult Medicine Physician
- Jackson, MS
National Provider Identifier
1821032392
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Adult Medicine Physician
- License
- 18055
- Practice address
- 866 Medical PLZ
Jackson, MS 39204-4948 - Phone
- (601) 372-1800
- Fax
- (601) 372-7043
- NPI assigned
- Jun 15, 2006
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Adult Medicine Physician | 207QA0505X | 18055 | MS | Primary |
Addresses
Primary practice location
866 Medical PLZ
Jackson, MS 39204-4948
Mailing address
PO Box 3437
Jackson, MS 39207-3437
Phone (601) 362-5321
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| St. Dominic Medical Associates LLC | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Family Medicine Physician
- Flowood, MS
- NPI 1710040712
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1307318400000",
"number": "1821032392",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 3437",
"city": "JACKSON",
"state": "MS",
"postal_code": "392073437",
"telephone_number": "601-362-5321",
"fax_number": "601-364-5159"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "866 MEDICAL PLZ",
"city": "JACKSON",
"state": "MS",
"postal_code": "392044948",
"telephone_number": "601-372-1800",
"fax_number": "601-372-7043"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "RACHEL",
"middle_name": "ANTONIA",
"name_prefix": "Dr.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2011-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "207QA0505X",
"taxonomy_group": "",
"desc": "Family Medicine, Adult Medicine",
"state": "MS",
"license": "18055",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Jackson, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.