Individual provider Active NPI

William B Jones, NP

  • Family Nurse Practitioner
  • Humboldt, TN
National Provider Identifier
1831431568
Registry record updated Feb 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
17510 Issued in TN
Practice address
3568 Chere Carol Rd
Humboldt, TN 38343-3639
Phone
(731) 784-7602
Fax
(731) 784-9518
NPI assigned
Mar 20, 2013
Last updated
Feb 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 22, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X 17510 TN Primary

Addresses

Primary practice location

3568 Chere Carol Rd
Humboldt, TN 38343-3639

Mailing address

PO Box 400
Jackson, TN 38302-0400
Phone (731) 425-5752

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20130614000591 TN Practitioner - Nurse Practitioner 3274772678 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Jackson Clinic PAGroup PAC ID 2668376872, 171 clinicians

Practice addresses (Care Compare)

3568 Chere Carol Rd
Humboldt, TN 38343-3639
Phone (731) 664-1375

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
17510TNMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 11, 2013 Accepting new patients
Jackson Clinic PA CurrentSince Mar 1, 2021 Accepting new patients
Fast Pace Medical Clinic PLLC CurrentSince Apr 11, 2013 Accepting new patients
Jackson Clinic PA CurrentSince Mar 1, 2021 Accepting new patients

Locations

622 W Market St
Bolivar, TN 38008
Phone (731) 658-2885

3568 Chere Carol Rd
Humboldt, TN 38343
Phone (731) 664-1375

1893 S Highland Ave
Jackson, TN 38301
Phone (731) 423-5585

2863 Highway 45 Byp
Jackson, TN 38305
Phone (731) 664-1375

619 Skyline Dr
Jackson, TN 38301
Phone (731) 424-3682

87 Murray Guard Dr
Ste B
Jackson, TN 38305
Phone (731) 664-1375

149 Commons Dr
Martin, TN 38237

1860 Wayne Rd
Savannah, TN 38372
Phone (731) 926-4222

203 S High St
Waynesboro, TN 38485
Phone (931) 722-9099

Interoperability endpoints

  • Direct secure messaging: williamjones@jcpa.allscriptsdirect.net

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1363737600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613952000000",
    "number": "1831431568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 400",
            "city": "JACKSON",
            "state": "TN",
            "postal_code": "383020400",
            "telephone_number": "731-425-5752",
            "fax_number": "731-422-5743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3568 CHERE CAROL RD",
            "city": "HUMBOLDT",
            "state": "TN",
            "postal_code": "383433639",
            "telephone_number": "731-784-7602",
            "fax_number": "731-784-9518"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "WILLIAM",
        "middle_name": "B",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-03-20",
        "last_updated": "2021-02-22",
        "certification_date": "2021-02-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "TN",
            "license": "17510",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Humboldt, TN

Sources for this page

Verify at the official NPI Registry.