Active NPI
Sammie Lee Jones Jr., D.C.
- Chiropractor
- Starkville, MS
National Provider Identifier
1972639557
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- 1022
- Practice address
- 210 Highway 12 W
Suite D
Starkville, MS 39759-3708 - Phone
- (662) 338-5446
- Fax
- (662) 338-5349
- NPI assigned
- Feb 26, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Chiropractor | 111N00000X | 1022 | MS | Primary |
Addresses
Primary practice location
210 Highway 12 W
Suite D
Starkville, MS 39759-3708
Mailing address
PO Box 1040
Ackerman, MS 39735-1040
Phone (662) 338-5446
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0125428 | Medicaid | MS | |
| 9015942 | Medicaid | MS |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1022 | MS | MD | Optometrist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1172448000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1374796800000",
"number": "1972639557",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1040",
"city": "ACKERMAN",
"state": "MS",
"postal_code": "397351040",
"telephone_number": "662-338-5446",
"fax_number": "662-338-5349"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 HIGHWAY 12 W",
"address_2": "SUITE D",
"city": "STARKVILLE",
"state": "MS",
"postal_code": "397593708",
"telephone_number": "662-338-5446",
"fax_number": "662-338-5349"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SAMMIE",
"middle_name": "LEE",
"name_suffix": "Jr.",
"credential": "D.C.",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2007-02-26",
"last_updated": "2013-07-26",
"status": "A"
},
"taxonomies": [
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "MS",
"license": "1022",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0125428",
"state": "MS"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "9015942",
"state": "MS"
}
],
"endpoints": [],
"other_names": []
}Other providers in Starkville, MS
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.