Active NPI
Ann De Jong, MD
- Family Medicine Physician
- Gadsden, AL
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 10724
- Practice address
- 1007 Goodyear Ave
Gadsden, AL 35903-1195 - Phone
- (877) 848-1457
- Fax
- (659) 235-6176
- NPI assigned
- May 17, 2007
- Last updated
- Apr 9, 2026
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Emergency Medicine Physician | 207P00000X | ME176366 | FL | |
| Family Medicine Physician | 207Q00000X | 10724 | ND | Primary |
| Hospitalist Physician | 208M00000X | 15204 | NV |
Addresses
Primary practice location
1007 Goodyear Ave
Gadsden, AL 35903-1195
Mailing address
8470 Helena Ave
Las Vegas, NV 89129-0405
Phone (818) 926-2160
Other practice location 1
6355 S Buffalo Dr
Las Vegas, NV 89113-2133
Phone (702) 233-8855
Other practice location 2
206 2nd St E
Bradenton, FL 34208-1042
Phone (941) 746-5111
Other practice location 3
12033 Agency Rd
Parker, AZ 85344-7718
Phone (928) 669-2137
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA, AZ, NV, TX, NM, FL, AL, KY
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 8
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Other, 2005
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1200 Mohave Rd
Emergency Dept
Parker, AZ 85344-6349
Phone (954) 939-5000
457 Lover's Lane
Bowling Green, KY 42103
Phone (270) 745-1500
457 Lovers LN
Bowling Green, KY 42103-8113
Phone (270) 715-8550
Hospital & facility affiliations
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- HHS exclusion list flag
- CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found.
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ME176366 | FL | MD | Emergency Medicine Physician |
| 10724 | ND | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Seven Star Hospital Associates Inc. | Current | Accepting new patients | |
| La Paz Regional Hospital Inc | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Vituity Hospitalists PC | Hospitalist | Current | Accepting new patients |
| DHHS IHS Phoenix | Current | Accepting new patients | |
| Exceptional Physicians Group Yuma Hospital PLLC | Emergency Medicine | Current | Accepting new patients |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Gila River Health Care Corporation | Current | Accepting new patients | |
| Exceptional Physicians Group Arizona PLLC | Current | Accepting new patients | |
| Winslow Memorial Hospital Inc | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital, Inc. | Current | Accepting new patients | |
| Exceptional Physicians Group Bullhead City Hospital PLLC | Current | Accepting new patients | |
| Navajo Health Foundation-Sage Memorial Hospital Inc | Current | Accepting new patients | |
| Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm | Current | Accepting new patients | |
| Gila River Health Care | Current | Accepting new patients | |
| Mt Grant General Hospital | Current | Accepting new patients | |
| Southwest Medical Associates, Inc | Current | Accepting new patients | |
| Exceptional Physicians Group Prescott Hospital PLLC | Current | Accepting new patients | |
| Vituity Hospitalists PC | Hospitalist | Current | Accepting new patients |
| Exceptional Physicians Group Eloy Hospital PLLC | Emergency Medicine | Current | Accepting new patients |
| Optum Medical Group Rhodes P C | Current | Accepting new patients | |
| Optum Medical Group II Rhodes P C | Current | Accepting new patients | |
| Palomar Hospitalist Medical Group, Inc | Hospitalist | Current | Accepting new patients |
| Mt Grant General Hospital | Current | Accepting new patients | |
| Irene Benn Medical Center | Current | Accepting new patients | |
| DHHS IHS Phoenix Area | Current | Accepting new patients | |
| Sunset Emergency Physicians LLC | Emergency Medicine | Current | Accepting new patients |
| Emergency Physicians Southwest, PC | Emergency Medicine | Current | Accepting new patients |
| Em Alliance LLC | Emergency Medicine | Current | Accepting new patients |
| South Lyon Health Center, Inc. | Current | Accepting new patients | |
| Grand Avenue Emergency Physicians Medical Group Inc | Emergency Medicine | Current | Accepting new patients |
| Premier Emergency Physicians of California Medical Group PC | Emergency Medicine | Past | Accepting new patients |
| Ehc Eloy LLC | Past | Accepting new patients | |
| Exceptional Health Care Prescott LLC | Past | Accepting new patients | |
| Exceptional Health Care Maricopa LLC | Past | Accepting new patients | |
| Frances Mahon Deaconess Hospital | Past | Accepting new patients | |
| Exceptional Health Care Bullhead City LLC | Past | Accepting new patients | |
| Emcare Physician Providers, Inc | Emergency Medicine | Past | Accepting new patients |
Locations (25 of 28)
2365 Highway 95
Bullhead City, AZ 86442
Phone (928) 224-2443
340 E Milligan Rd
Eloy, AZ 85131
Phone (436) 341-7800
19060 N John Wayne Pkwy
Maricopa, AZ 85139
Phone (480) 631-0675
1200 W Mohave Rd
Parker, AZ 85344
Phone (928) 669-7300
12033 Agency Rd
Parker, AZ 85344
Phone (760) 572-4137
807 S Ponderosa St
Payson, AZ 85541
Phone (520) 474-3222
4212 N 16th St
Phoenix, AZ 85016
Phone (602) 248-4187
4822 E State Route 69
Prescott, AZ 86301
Phone (436) 341-7800
1501 N Williamson Ave
Winslow, AZ 86047
Phone (928) 289-4691
2648 S Araby Rd
Yuma, AZ 85365
Phone 4693417800100
2215 Truxtun Ave
Bakersfield, CA 93301
Phone (661) 477-9283
820 E Mountain View St
Barstow, CA 92311
Phone (760) 256-1761
2185 Citracado Pkwy
Escondido, CA 92029
Phone (442) 281-5000
1117 E Devonshire Ave
Hemet, CA 92543
Phone (951) 652-2811
1601 Cummins Dr
Ste D
Modesto, CA 95358
Phone (510) 851-7423
2601 E Chapman Ave
Orange, CA 92869
Phone (714) 633-0011
5000 Hopyard Rd
Ste 100
Pleasanton, CA 94588
Phone (480) 861-4015
15615 Pomerado Rd
Poway, CA 92064
Phone (858) 613-4000
2175 Rosaline Ave
Redding, CA 96001
Phone (530) 225-7247
15248 Eleventh St
Victorville, CA 92395
Phone (760) 245-8691
206 2nd St E
Bradenton, FL 34208
Phone (941) 745-7202
5506 14th St W
Bradenton, FL 34207
Phone (941) 745-7372
10101 Forest Hill Blvd
West Palm Beach, FL 33414
Phone (561) 766-1301
2316 W Charleston Blvd
Las Vegas, NV 89102
Phone (702) 877-8330
420 N Nellis Blvd
Las Vegas, NV 89110
Phone (702) 339-5710
Interoperability endpoints
- anndejong@lprh.medalliesdirect.net
Organizations & group practices 47
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.
-
- Emergency Medicine Physician
- Parker, AZ
- NPI 1871504860
-
dba Med Center Health Emergency Plus UrgentCare
- Urgent Care Clinic/Center
- Bowling Green, KY
- NPI 1861380289
-
- Emergency Medicine Physician
- Ashland, KY
- NPI 1720587447
-
dba Phoenix Indian Medical Center
- Public Health or Welfare Agency
- Phoenix, AZ
- NPI 1083643738
TX
-
dba Peach Springs Health Center
- Clinic/Center
- Peach Springs, AZ
- NPI 1265719934
TX
-
dba Chemehuevi Health Clinic
- Federal Public Health Clinic/Center
- Havasu Lake, CA
- NPI 1396022026
TX
-
- Emergency Medicine Physician
- Wellington, FL
- NPI 1922788959
-
- Emergency Medicine Physician
- Mesa, AZ
- NPI 1912053752
-
- Emergency Medical Services (Emergency Medicine) Physician
- Maricopa, AZ
- NPI 1447910229
-
- Emergency Medical Services (Emergency Medicine) Physician
- Bullhead City, AZ
- NPI 1518732023
-
- Emergency Medicine Physician
- Eloy, AZ
- NPI 1760203855
-
- Emergency Medical Services (Emergency Medicine) Physician
- Prescott, AZ
- NPI 1720807670
Hospital & facility affiliations 4
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Exceptional Community Hospital Bullhead City
- Special Hospital
- Bullhead City, AZ
- NPI 1750092110
-
- Critical Access Hospital
- Parker, AZ
- NPI 1053684555
-
dba Manatee Memorial Hospital
- General Acute Care Hospital
- Bradenton, FL
- NPI 1760472799
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179360000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1775692800000",
"number": "1871700823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8470 HELENA AVE",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891290405",
"telephone_number": "818-926-2160"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1007 GOODYEAR AVE",
"city": "GADSDEN",
"state": "AL",
"postal_code": "359031195",
"telephone_number": "877-848-1457",
"fax_number": "659-235-6176"
}
],
"practiceLocations": [
{
"address_1": "6355 S Buffalo Dr",
"address_purpose": "LOCATION",
"city": "Las Vegas",
"state": "NV",
"postal_code": "891132133",
"country_code": "US",
"telephone_number": "702-233-8855",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "206 2nd St E",
"address_purpose": "LOCATION",
"city": "Bradenton",
"state": "FL",
"postal_code": "342081042",
"country_code": "US",
"telephone_number": "941-746-5111",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "12033 Agency Rd",
"address_purpose": "LOCATION",
"city": "Parker",
"state": "AZ",
"postal_code": "853447718",
"country_code": "US",
"telephone_number": "928-669-2137",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "DE JONG",
"first_name": "ANN",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-17",
"last_updated": "2026-04-09",
"certification_date": "2026-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "207P00000X",
"taxonomy_group": "",
"desc": "Emergency Medicine",
"state": "FL",
"license": "ME176366",
"primary": false
},
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "ND",
"license": "10724",
"primary": true
},
{
"code": "208M00000X",
"taxonomy_group": "",
"desc": "Hospitalist",
"state": "NV",
"license": "15204",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gadsden, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2026; 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.