NPIMap

Individual provider Active NPI

Alicia Jones, PA

  • Medical Physician Assistant
  • Colton, NY
National Provider Identifier
1821406018
Registry record updated Dec 24, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
License
017572 Issued in NY
Practice address
8 Gulf Rd
Colton, NY 13625-3257
Phone
(315) 262-2287
Fax
(315) 262-2279
NPI assigned
Jul 31, 2014
Last updated
Dec 24, 2019By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 24, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X 017572 NY Primary

Addresses

Primary practice location

8 Gulf Rd
Colton, NY 13625-3257

Mailing address

50 Leroy St
Potsdam, NY 13676-1786
Phone (315) 261-6034

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NY
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150915000448 NY Practitioner - Physician Assistant 7315254992 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Claxton Medical PCGroup PAC ID 0244389153, 5 clinicians
Claxton-Hepburn Medical CenterGroup PAC ID 8426966508, 78 clinicians
Carthage Area Hospital IncGroup PAC ID 9931010485, shared by 16 NPIs, 119 clinicians
Canton-Potsdam Medical Practice PLLCGroup PAC ID 6507090883, 2 clinicians

Practice addresses (Care Compare)

3 Lyon PL
Suite 302
Ogdensburg, NY 13669-2546
Phone (315) 393-7955

39 W Main St
Canton, NY 13617-1358
Phone (315) 379-4700

8 Gulf Rd
Colton, NY 13625-3257
Phone (316) 262-2287

80 E Main St
Canton, NY 13617-1450
Phone (315) 261-6034

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Claxton Medical PC CurrentSince Jul 1, 2024 Accepting new patients
Canton-Potsdam Hospital CurrentSince Nov 13, 2020 Accepting new patients
Canton-Potsdam Hospital CurrentSince Nov 13, 2020 Accepting new patients
Claxton-Hepburn Medical Center Past Accepting new patients
Adirondack Physical & Occupational Therapy, LLC PastSince Dec 29, 2019 Accepting new patients

Locations

39 W Main St
Canton, NY 13617
Phone (315) 379-4700

80 E Main St
Canton, NY 13617
Phone (315) 261-6034

214 King St
Ogdensburg, NY 13669
Phone (315) 713-5660

3 Lyon Pl
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ste 200
Ogdensburg, NY 13669
Phone (315) 394-7542

3 Lyon Pl
Ste 302
Ogdensburg, NY 13669
Phone (315) 393-7955

305 Main St
Ogdensburg, NY 13669
Phone (315) 393-2611

201 Market St
Ste E
Potsdam, NY 13676
Phone (315) 274-9102

50 Leroy St
Potsdam, NY 13676
Phone (315) 261-6034

Interoperability endpoints

  • Direct secure messaging: ajones@cahclinics.medentdirect.com
  • Direct secure messaging: ajones324974@direct.rochesterregional.org

Organizations & group practices 8

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

Hospital & facility affiliations 11

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1406764800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1577145600000",
    "number": "1821406018",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 LEROY ST",
            "city": "POTSDAM",
            "state": "NY",
            "postal_code": "136761786",
            "telephone_number": "315-261-6034",
            "fax_number": "315-261-6025"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8 GULF RD",
            "city": "COLTON",
            "state": "NY",
            "postal_code": "136253257",
            "telephone_number": "315-262-2287",
            "fax_number": "315-262-2279"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ALICIA",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-07-31",
        "last_updated": "2019-12-24",
        "certification_date": "2019-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": "NY",
            "license": "017572",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colton, NY

Sources for this page

Verify at the official NPI Registry.