Provider Demographics
NPI:1205830015
Name:JONES, BILLY C (DO)
Entity Type:Individual
Prefix:
First Name:BILLY
Middle Name:C
Last Name:JONES
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:743 HAPPY VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BELL BUCKLE
Mailing Address - State:TN
Mailing Address - Zip Code:37020-4365
Mailing Address - Country:US
Mailing Address - Phone:931-261-5959
Mailing Address - Fax:
Practice Address - Street 1:121 LASSETER DR
Practice Address - Street 2:
Practice Address - City:MURFREESBORO
Practice Address - State:TN
Practice Address - Zip Code:37130-4026
Practice Address - Country:US
Practice Address - Phone:159-567-9196
Practice Address - Fax:615-896-7490
Is Sole Proprietor?:Yes
Enumeration Date:2005-06-09
Last Update Date:2019-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN1461207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN3307177Medicaid
TN1510151Medicaid
TN4211223OtherBCBS
TN3307177Medicaid
TN4211223OtherBCBS
TNH64814Medicare UPIN