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JONES FAMILY MEDICAL CLINIC PLLC NPI 1346446705


NPI Information

NPI: 1346446705
Provider Name: JONES FAMILY MEDICAL CLINIC, PLLC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 25D0955093

Address:
1200 N GLOSTER ST
TUPELO, MS
ZIP 38804
Phone: (662) 840-0990
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JONES FAMILY MEDICAL CLINIC, PLLC is a family medicine in Tupelo, MS. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. JONES FAMILY MEDICAL CLINIC, PLLC NPI is 1346446705. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1200 N GLOSTER ST
TUPELO, MS
ZIP 38804-206
Phone: (662) 840-0990
Fax: (662) 840-0182

The provider's authorized official is Kathy M Allred .
The authorized official title is Office Manager and has the following contact phone number (662) 840-0990.

The CLIA number assigned to this NPI record is 25D0955093 - physician office with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 6/22/2007 and was last updated on 9/12/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1207Q00000XFamily MedicineYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1080136332OTHERMISSISSIPPIRAILROAD MEDICARE PTAN PHIL JONES
200015920OTHERMISSISSIPPIMEDICAID INDIVIDUAL PHIL JONES
3C68910MEDICARE UPINMISSISSIPPI
409015894MEDICAIDMISSISSIPPI
51346446705OTHERMISSISSIPPINPI JONES FAMILY MEDICAL CLINIC, PLLC
6R574929OTHERMISSISSIPPILISCENSE TAMMIE WATERS
7S70987MEDICARE UPIN
8001204741OTHERMISSISSIPPIMEDICAID TAMMIE WATERS INDIVIDUAL
9080002925OTHERMISSISSIPPIMEDICARE PTAN PHIL JONES INDIVIDUAL
1012788OTHERMISSISSIPPIPHILLIP JONES, MD LISCENS
111659399723OTHERJONES NPI INDIVIDUAL
12P01004732OTHERRAILROAD MEDICARE TAMMIE WATERS IND
13DS1903OTHERMISSISSIPPIRAILROAD MEDICARE GROUP
141770636243OTHERMISSISSIPPINPI TAMMIE WATERS INDIVIDUAL
15302G080670OTHERMISSISSIPPIMEDICARE PTAN
16425198301AOTHERMISSISSIPPIJONES BCBS

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.