Active NPI
Jerry E. Jones, M.D.
- Family Medicine Physician
- Richmond, KY
National Provider Identifier
1851395701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 21637
- Practice address
- 2161 Lexington Rd
Richmond, KY 40475-7952 - Phone
- (859) 626-7794
- Fax
- (859) 626-7764
- NPI assigned
- Jun 9, 2005
- Last updated
- Jul 9, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 21637 | KY | Primary |
Addresses
Primary practice location
2161 Lexington Rd
Richmond, KY 40475-7952
Mailing address
2161 Lexington Rd
Richmond, KY 40475-7952
Phone (859) 626-7794
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 64216377 | Medicaid | KY |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 21637 | KY | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Lab One of Ohio Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1118275200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183939200000",
"number": "1851395701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2161 LEXINGTON RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404757952",
"telephone_number": "859-626-7794",
"fax_number": "859-626-7764"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2161 LEXINGTON RD",
"city": "RICHMOND",
"state": "KY",
"postal_code": "404757952",
"telephone_number": "859-626-7794",
"fax_number": "859-626-7764"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERRY",
"middle_name": "E.",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-09",
"last_updated": "2007-07-09",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "KY",
"license": "21637",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "64216377",
"state": "KY"
}
],
"endpoints": [],
"other_names": []
}Other providers in Richmond, KY
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.