Individual provider Active NPI

Ann De Jong, MD

  • Family Medicine Physician
  • Gadsden, AL
National Provider Identifier
1871700823
Registry record updated Apr 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
10724 Issued in ND
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, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 9, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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, KY8 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 8

Enrollment IDStateProvider typePAC IDDetails
I20120515000176 CA Practitioner - Emergency MedicinePractitioner - Family PracticePractitioner - Hospitalist 8527141316 Reassigns benefits to 4 organizations
I20151112001273 AZ Practitioner - Family Practice 8527141316 Reassigns benefits to 10 organizations
I20170614001496 NV Practitioner - Family PracticePractitioner - Emergency Medicine 8527141316 Reassigns benefits to 6 organizations
I20190321000050 TX Practitioner - Family Practice 8527141316 Reassigns benefits to 5 organizations
I20200526002044 NM Practitioner - Family Practice 8527141316
I20260113000101 FL Practitioner - Family Practice 8527141316 Reassigns benefits to 1 organization
I20260327003926 AL Practitioner - Family Practice 8527141316 Reassigns benefits to 1 organization
I20260513002375 KY Practitioner - Family Practice 8527141316 Reassigns benefits to 2 organizations

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
Sunset Emergency Physicians LLCGroup PAC ID 7214113042, 15 clinicians
Sound Physicians Emergency Medicine of Kentucky PLLCGroup PAC ID 6204198393, 7 clinicians

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. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
ME176366FLMDEmergency Medicine Physician
10724NDMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Seven Star Hospital Associates Inc. CurrentSince Jan 1, 2025 Accepting new patients
La Paz Regional Hospital Inc Current Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 2, 2019 Accepting new patients
Vituity Hospitalists PC Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
DHHS IHS Phoenix CurrentSince Jul 1, 2025 Accepting new patients
Exceptional Physicians Group Yuma Hospital PLLC Emergency Medicine CurrentSince Aug 8, 2024 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 1, 2025 Accepting new patients
South Lyon Health Center, Inc. CurrentSince Apr 5, 2022 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. CurrentSince Apr 5, 2022 Accepting new patients
Gila River Health Care Corporation CurrentSince Jan 23, 2019 Accepting new patients
Exceptional Physicians Group Arizona PLLC CurrentSince Aug 8, 2024 Accepting new patients
Winslow Memorial Hospital Inc CurrentSince Aug 1, 2025 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital, Inc. CurrentSince Nov 28, 2020 Accepting new patients
Exceptional Physicians Group Bullhead City Hospital PLLC CurrentSince Feb 19, 2024 Accepting new patients
Navajo Health Foundation-Sage Memorial Hospital Inc CurrentSince Nov 28, 2020 Accepting new patients
Dhew Ind HLTH SV HLTH SVS & MNTL HLTH Adm CurrentSince Nov 2, 2019 Accepting new patients
Gila River Health Care CurrentSince Jan 23, 2019 Accepting new patients
Mt Grant General Hospital CurrentSince Dec 15, 2024 Accepting new patients
Southwest Medical Associates, Inc CurrentSince Feb 12, 2020 Accepting new patients
Exceptional Physicians Group Prescott Hospital PLLC CurrentSince Aug 15, 2020 Accepting new patients
Vituity Hospitalists PC Hospitalist CurrentSince Jul 1, 2022 Accepting new patients
Exceptional Physicians Group Eloy Hospital PLLC Emergency Medicine CurrentSince Oct 16, 2025 Accepting new patients
Optum Medical Group Rhodes P C CurrentSince Feb 12, 2020 Accepting new patients
Optum Medical Group II Rhodes P C CurrentSince Feb 12, 2020 Accepting new patients
Palomar Hospitalist Medical Group, Inc Hospitalist CurrentSince Aug 1, 2021 Accepting new patients
Mt Grant General Hospital CurrentSince Dec 15, 2024 Accepting new patients
Irene Benn Medical Center CurrentSince Jul 1, 2025 Accepting new patients
DHHS IHS Phoenix Area CurrentSince Jul 1, 2025 Accepting new patients
Sunset Emergency Physicians LLC Emergency Medicine CurrentSince Jun 1, 2020 Accepting new patients
Emergency Physicians Southwest, PC Emergency Medicine CurrentSince Oct 1, 2015 Accepting new patients
Em Alliance LLC Emergency Medicine CurrentSince Jan 1, 2026 Accepting new patients
South Lyon Health Center, Inc. Current Accepting new patients
Grand Avenue Emergency Physicians Medical Group Inc Emergency Medicine CurrentSince Nov 17, 2021 Accepting new patients
Premier Emergency Physicians of California Medical Group PC Emergency Medicine Past Accepting new patients
Ehc Eloy LLC PastSince Aug 1, 2025 Accepting new patients
Exceptional Health Care Prescott LLC PastSince Aug 1, 2024 Accepting new patients
Exceptional Health Care Maricopa LLC PastSince Jul 25, 2021 Accepting new patients
Frances Mahon Deaconess Hospital Past Accepting new patients
Exceptional Health Care Bullhead City LLC PastSince Nov 19, 2023 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

  • Direct secure messaging: 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.

View all 47

Hospital & facility affiliations 4

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

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

Verify at the official NPI Registry.