Evelyn Montgomery Jones, M.D.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

27324 Issued in KY

Practice address

2721 W Park Dr
Paducah, KY 42001-9058

Phone

(270) 554-7540

Fax

(270) 554-0316

NPI assigned

Jun 6, 2006

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in KY

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Dermatology

Education

University of Louisville School of Medicine, 1989

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Wellsprings Institute, PLLCGroup PAC ID 4880587005, 4 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Mercy Health - Lourdes Hospital Hospital, Paducah, KY, CCN 180102

Merit-based Incentive Payment System (MIPS)

Final score

68.89 of 100Reported as group

Quality

89.72

Improvement activities

40

Cost

10

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Wellsprings Institute, PLLC

  • Specialist
  • Paducah, KY
  • NPI 1588733661
  Medicare reassignment Care Compare group NPD
• Purchase Derm-ENT, PLLC

  • Otolaryngology Physician
  • Paducah, KY
  • NPI 1336101179
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Mercy Health-Lourdes Hospital LLC

  • Clinical Medical Laboratory
  • Paducah, KY
  • NPI 1245620640

  Hospital

  Care Compare affiliation
• Mercy Health-Lourdes Hospital LLC

  • General Acute Care Hospital
  • Paducah, KY
  • NPI 1346244126
  Care Compare affiliation

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

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1410307200000",
    "number": "1982643797",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2721 W PARK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058",
            "telephone_number": "270-554-7540",
            "fax_number": "270-554-0316"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2721 W PARK DR",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420019058",
            "telephone_number": "270-554-7540",
            "fax_number": "270-554-0316"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "EVELYN",
        "middle_name": "MONTGOMERY",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-06",
        "last_updated": "2014-09-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "",
            "desc": "Dermatology",
            "state": "KY",
            "license": "27324",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ANTHEM",
            "identifier": "000000324645",
            "state": "KY"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE",
            "identifier": "P00080586",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Candace Shelsey Jones
• Claire E Jones, MD
• Courtney Deanne Jones, LPCC, LCADC
• Edward Anthony Jones, ED.D., CCMHC, LMFT
• Eleanor Kathy Jones
• Jamie Jones, PHARMD
• Jared Jones
• Jeffery M. Jones, D.O.
• Jennifer Jones, IBCLC
• Melissa Jones

• Dermatology Physician in Paducah, KY
• Providers in Paducah, KY by specialty
• Dermatology Physician in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 10, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• 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.