Active NPI
Katherine W. Jones, MD, PLC
- Family Medicine Physician
- Mount Juliet, TN
National Provider Identifier
1972608149
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- Legal business name
- KATHERINE W. JONES, MD, PLC
- Practice address
- 2025 N Mount Juliet Rd
Suite 120
Mount Juliet, TN 37122-3316 - Phone
- (615) 773-2712
- Fax
- (615) 773-2707
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Katherine W Jones, MD
- Title
- Owner
- Phone
- (615) 773-2712
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | Primary |
Addresses
Primary practice location
2025 N Mount Juliet Rd
Suite 120
Mount Juliet, TN 37122-3316
Mailing address
2025 N Mount Juliet Rd
Suite 120
Mount Juliet, TN 37122
Phone (615) 773-2712
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3709374 | Medicaid | TN |
Other names 1
- Middle Tennessee Family Care
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TN
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20041019001211 | TN | Part B Supplier - Clinic/Group Practice | 4587625066 |
Receives reassigned benefits from 7 practitioners Practice locations: Mount Juliet, TN |
National Provider Directory
National Provider DirectoryLocations
40 W Caldwell St
Ste 100
Mt Juliet, TN 37122
Phone (615) 316-0100
Practitioners & affiliated clinicians
Practitioners 10
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Adult Health Nurse Practitioner
- Nashville, TN
- NPI 1528155652
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1352246400000",
"number": "1972608149",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2025 N MOUNT JULIET RD",
"address_2": "SUITE 120",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "37122",
"telephone_number": "615-773-2712",
"fax_number": "615-773-2707"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2025 N MOUNT JULIET RD",
"address_2": "SUITE 120",
"city": "MOUNT JULIET",
"state": "TN",
"postal_code": "371223316",
"telephone_number": "615-773-2712",
"fax_number": "615-773-2707"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KATHERINE W. JONES, MD, PLC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2012-11-07",
"status": "A",
"authorized_official_last_name": "JONES",
"authorized_official_first_name": "KATHERINE",
"authorized_official_middle_name": "W",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "615-773-2712",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MD"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Family Medicine",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3709374",
"state": "TN"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Middle Tennessee Family Care",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Mount Juliet, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.