Individual provider Active NPI

Anthony Brian Jones, PA-C

  • Medical Physician Assistant
  • Johnson City, TN
National Provider Identifier
1841814803
Registry record updated Feb 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2428 Knob Creek Rd Ste 102
Johnson City, TN 37604-2396
Phone
(865) 584-0962
NPI assigned
Jun 4, 2020
Last updated
Feb 26, 2021By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 26, 2021

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 Primary

Addresses

Primary practice location

2428 Knob Creek Rd Ste 102
Johnson City, TN 37604-2396

Mailing address

2428 Knob Creek Rd Ste 102
Johnson City, TN 37604-2396
Phone (423) 794-1074

Other identifiers 1

IdentifierTypeStateIssuer
T15650AMedicaidTN

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
I20200826003077 TN Practitioner - Physician Assistant 0547687279 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Allergy Associates, PAGroup PAC ID 1355246398, 74 clinicians

Practice addresses (Care Compare)

2428 Knob Creek Rd
Suite 102
Johnson City, TN 37604-2396
Phone (865) 584-8588

801 N Weisgarber Rd
Suite 200
Knoxville, TN 37909-2707
Phone (865) 584-8588

Merit-based Incentive Payment System (MIPS)

Final score
78.55 of 100Reported as group
Quality
68.46
Promoting interoperability
99
Improvement activities
40
Cost
60.87

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4218TNMDPharmacist

Practice roles

OrganizationSpecialtyStatusNew patients
Allergy Associates, PA CurrentSince Aug 1, 2020 Accepting new patients
Allergy Associates, PA CurrentSince Aug 1, 2020 Accepting new patients
Allergy Associates PA Past Accepting new patients
Allergy Associates, P.a. Past Accepting new patients

Locations

2428 Knob Creek Rd
Ste 102
Johnson City, TN 37604
Phone (423) 794-1074

6701 Baum Dr
Ste 140
Knoxville, TN 37919

801 N Weisgarber Rd
Ste 200
Knoxville, TN 37909
Phone (655) 845-7278

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": "1591228800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614297600000",
    "number": "1841814803",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2428 KNOB CREEK RD STE 102",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042396",
            "telephone_number": "423-794-1074"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2428 KNOB CREEK RD STE 102",
            "city": "JOHNSON CITY",
            "state": "TN",
            "postal_code": "376042396",
            "telephone_number": "865-584-0962"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANTHONY",
        "middle_name": "BRIAN",
        "credential": "PA-C",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-04",
        "last_updated": "2021-02-26",
        "certification_date": "2021-02-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "T15650A",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Johnson City, TN

Sources for this page

Verify at the official NPI Registry.