Active NPI
Stacy D Jones Medical Group LLC
Doing business as Stacy D Jones MD
- Family Medicine Physician
- Baton Rouge, LA
National Provider Identifier
1821241217
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- STACY D JONES MEDICAL GROUP LLC
- Doing business as
- Stacy D Jones MD
- Practice address
- 3401 North Blvd
130
Baton Rouge, LA 70806-3743 - Phone
- (225) 381-2727
- NPI assigned
- Oct 29, 2008
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Stacy D Jones, MD
- Title
- Owner
- Phone
- (225) 381-2727
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
3401 North Blvd
130
Baton Rouge, LA 70806-3743
Mailing address
PO Box 64680
Baton Rouge, LA 70896-4680
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1091782 | Medicaid | LA |
Other names 1
- Stacy D Jones MD
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
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.
-
- Family Medicine Physician
- Prairieville, LA
- NPI 1962670570
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1225238400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1264723200000",
"number": "1821241217",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 64680",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708964680"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3401 NORTH BLVD",
"address_2": "130",
"city": "BATON ROUGE",
"state": "LA",
"postal_code": "708063743",
"telephone_number": "225-381-2727"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "STACY D JONES MEDICAL GROUP LLC",
"organizational_subpart": "NO",
"enumeration_date": "2008-10-29",
"last_updated": "2010-01-29",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "STACY",
"authorized_official_middle_name": "D",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "225-381-2727",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1091782",
"state": "LA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Stacy D Jones MD",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Baton Rouge, LA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.