Active NPI
Charles Jones, M.D.
- Family Medicine Physician
- Sulphur Springs, TX
National Provider Identifier
1962405696
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- E2642
- Practice address
- 105 Medical PLZ
Sulphur Springs, TX 75482-2136 - Phone
- (903) 885-3181
- Fax
- (903) 885-1329
- NPI assigned
- May 26, 2005
- 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 | E2642 | TX | Primary |
Addresses
Primary practice location
105 Medical PLZ
Sulphur Springs, TX 75482-2136
Mailing address
PO Box 1367
Sulphur Springs, TX 75482
Phone (903) 885-3181
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 123274605 | Medicaid | TX |
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 |
|---|---|---|---|
| E2642 | TX | MD | Family Medicine Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1117065600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1355184000000",
"number": "1962405696",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1367",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "75482",
"telephone_number": "903-885-3181",
"fax_number": "903-885-1329"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MEDICAL PLZ",
"city": "SULPHUR SPRINGS",
"state": "TX",
"postal_code": "754822136",
"telephone_number": "903-885-3181",
"fax_number": "903-885-1329"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "CHARLES",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-05-26",
"last_updated": "2012-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "TX",
"license": "E2642",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "123274605",
"state": "TX"
}
],
"endpoints": [],
"other_names": []
}Other providers in Sulphur Springs, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.