Organization Active NPI

Donald C Jones MD PC

  • Family Medicine Physician
  • Jackson, MI
National Provider Identifier
1972782654
Registry record updated Dec 6, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
Legal business name
DONALD C JONES MD PC
Practice address
2600 Spring Arbor Rd
Jackson, MI 49203-3604
Phone
(517) 788-6470
Fax
(517) 788-5547
NPI assigned
Oct 30, 2007
Last updated
Dec 6, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2007

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

Authorized official

Name
Donald Charles Jones, M.D.
Title
Owner
Phone
(517) 788-6470

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X Primary

Addresses

Primary practice location

2600 Spring Arbor Rd
Jackson, MI 49203-3604

Mailing address

2600 Spring Arbor Rd
Jackson, MI 49203-3604
Phone (517) 788-6470

Other identifiers 2

IdentifierTypeStateIssuer
06361X10837OtherMIMEDICARE RAILROAD
200000004383OtherMIPHPSM

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050118000045 MI Part B Supplier - Clinic/Group Practice 9638128630 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MI

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
23D0968353Donald C Jones, MD PC2600 Spring Arbor Road, Jackson, MI 49203Certificate of waiverAug 9, 2027

National Provider Directory

National Provider Directory

Locations

2600 Spring Arbor Rd
Jackson, MI 49203
Phone (517) 788-6470

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1193702400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196899200000",
    "number": "1972782654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2600 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033604",
            "telephone_number": "517-788-6470",
            "fax_number": "517-788-5547"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2600 SPRING ARBOR RD",
            "city": "JACKSON",
            "state": "MI",
            "postal_code": "492033604",
            "telephone_number": "517-788-6470",
            "fax_number": "517-788-5547"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD C JONES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-30",
        "last_updated": "2007-12-06",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "CHARLES",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "517-788-6470",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE RAILROAD",
            "identifier": "06361X10837",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PHPSM",
            "identifier": "200000004383",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.