Organization 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
Registry record updated Jan 29, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
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

Updated by the provider on Jan 29, 2010

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)CodeLicenseStatePrimary
Family Medicine PhysicianGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
1091782MedicaidLA

Other names 1

  • Stacy D Jones MD Doing business as

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.