Active NPI
Lane Elisabeth Jones, PA-C
- Physician Assistant
- Madison, MS
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- PA00783
- Practice address
- 102 Lexington Dr Ste 100
Madison, MS 39110-6952 - Phone
- (601) 973-1688
- NPI assigned
- Feb 15, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | PA00783 | MS | |
| Physician Assistant | 363A00000X | PA00783 | MS | Primary |
Addresses
Primary practice location
102 Lexington Dr Ste 100
Madison, MS 39110-6952
Mailing address
965 Ridge Lake Blvd Ste 315
Memphis, TN 38120-9401
Phone (901) 227-7015
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MS
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Mississippi Medical College, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
102 Lexington Dr
Suite 100
Madison, MS 39110-6952
Phone (601) 973-1688
1225 N State St
Jackson, MS 39202-2064
Phone (601) 292-4261
401 Baptist Dr
Suite 104
Madison, MS 39110-2010
Phone (601) 973-1504
Hospital & facility affiliations
- Mississippi Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Medical Foundation of Central Ms | Family Medicine | Current | Accepting new patients |
| Medical Foundation of Central Mississippi, Inc. | Family Medicine | Current | Accepting new patients |
| BMC - Attala, LLC | Family Medicine | Past | Accepting new patients |
Locations
102 Lexington Dr
#100
Gluckstadt, MS 39110
Phone (601) 973-1688
1225 N State St
Jackson, MS 39202
Phone (601) 292-4261
401 Baptist Dr
Ste 104
Madison, MS 39110
Phone (601) 605-2383
965 Ridge Lake Blvd
Ste 315
Memphis, TN 38120
Phone (877) 348-1281
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Internal Medicine Physician
- Jackson, MS
- NPI 1992774814
Family Medicine
-
- Family Medicine Physician
- Brandon, MS
- NPI 1114264264
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Jackson, MS
- NPI 1710909585
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1707955200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1711065600000",
"number": "1831954221",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "965 RIDGE LAKE BLVD STE 315",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381209401",
"telephone_number": "901-227-7015",
"fax_number": "901-227-8591"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "102 LEXINGTON DR STE 100",
"city": "MADISON",
"state": "MS",
"postal_code": "391106952",
"telephone_number": "601-973-1688"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "LANE",
"middle_name": "ELISABETH",
"credential": "PA-C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-02-15",
"last_updated": "2024-03-22",
"certification_date": "2024-03-22",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "MS",
"license": "PA00783",
"primary": false
},
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "MS",
"license": "PA00783",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Madison, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 22, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.