Active NPI
Edward Oleary Jones
- Transportation Network Company
- Vicksburg, MS
National Provider Identifier
1952080996
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Transportation Network Company
- Practice address
- 2608 Roosevelt Ave
Vicksburg, MS 39180-4349 - Phone
- (601) 201-5701
- NPI assigned
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Private Vehicle | 347C00000X | 800359589 | MS | |
| Transportation Network Company | 342000000X | Primary |
Addresses
Primary practice location
2608 Roosevelt Ave
Vicksburg, MS 39180-4349
Mailing address
2608 Roosevelt Ave
Vicksburg, MS 39180-4349
Phone (601) 201-5701
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 800359589 | MS | MD | Private Vehicle |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1689552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1690243200000",
"number": "1952080996",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2608 ROOSEVELT AVE",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391804349",
"telephone_number": "601-201-5701"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2608 ROOSEVELT AVE",
"city": "VICKSBURG",
"state": "MS",
"postal_code": "391804349",
"telephone_number": "601-201-5701"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "EDWARD",
"middle_name": "OLEARY",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2023-07-17",
"last_updated": "2023-07-25",
"certification_date": "2023-07-25",
"status": "A"
},
"taxonomies": [
{
"code": "347C00000X",
"taxonomy_group": "",
"desc": "Private Vehicle",
"state": "MS",
"license": "800359589",
"primary": false
},
{
"code": "342000000X",
"taxonomy_group": "",
"desc": "Transportation Network Company",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Vicksburg, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.