Lewis C Jones, MD

Primary specialty

Sports Medicine (Neuromusculoskeletal Medicine) PhysicianTaxonomy code 204C00000X

License

011448 Issued in LA

Practice address

6121 Fern Ave Unit 128
Shreveport, LA 71105-4166

Phone

(318) 798-8088

NPI assigned

Aug 19, 2005

Last updated

Nov 29, 2017By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

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

{
    "created_epoch": "1124409600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1511913600000",
    "number": "1821080383",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6121 FERN AVE",
            "address_2": "UNIT 128",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054166"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6121 FERN AVE UNIT 128",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711054166",
            "telephone_number": "318-798-8088"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Line Avenue",
            "address_2": "Ste 100",
            "address_purpose": "LOCATION",
            "city": "Shreveport",
            "state": "LA",
            "postal_code": "71101",
            "country_code": "US",
            "telephone_number": "318-635-3052",
            "fax_number": "318-632-6087",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LEWIS",
        "middle_name": "C",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-08-19",
        "last_updated": "2017-11-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "LA",
            "license": "11448",
            "primary": false
        },
        {
            "code": "204C00000X",
            "taxonomy_group": "",
            "desc": "Neuromusculoskeletal Medicine, Sports Medicine",
            "state": "LA",
            "license": "011448",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kyle L Jones, DDS
• Lasonya Jones, FNP
• Latesha Jones
• Latoyia Jones, COUNSLEOR
• Lauren Pernici Jones
• Lillian M Jones
• Linda Jones
• Linda Sue Jones
• Marcus Jones
• Megan Sierra Jones, P.T.

• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Shreveport, LA
• Providers in Shreveport, LA by specialty
• Sports Medicine (Neuromusculoskeletal Medicine) Physician in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 29, 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.