Provider Demographics
NPI:1033107164
Name:JONES, JEFFERSON C (MD)
Entity Type:Individual
Prefix:DR
First Name:JEFFERSON
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1038
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:GA
Mailing Address - Zip Code:31902-1038
Mailing Address - Country:US
Mailing Address - Phone:706-660-6148
Mailing Address - Fax:706-660-2843
Practice Address - Street 1:2000 10TH AVE
Practice Address - Street 2:SUITE 200
Practice Address - City:COLUMBUS
Practice Address - State:GA
Practice Address - Zip Code:31901-3700
Practice Address - Country:US
Practice Address - Phone:706-321-3745
Practice Address - Fax:706-321-3749
Is Sole Proprietor?:No
Enumeration Date:2005-10-12
Last Update Date:2014-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA026766207Q00000X
AL00017943207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
4291715OtherAETNA
AL60027562OtherBCBS
450491390JON1OtherEVERGREEN
0101764OtherUNITED HEALTHCARE
1625165OtherFIRST HEALTH
P00174243OtherRAILROAD MEDICARE
1568329OtherCIGNA
GA52413408001OtherBCBS
4291715OtherAETNA
450491390JON1OtherEVERGREEN
1568329OtherCIGNA