Provider Demographics
NPI:1225098098
Name:JONES, KAREN D (MD)
Entity Type:Individual
Prefix:DR
First Name:KAREN
Middle Name:D
Last Name:JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1221 ELROND DR NW
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-6966
Mailing Address - Country:US
Mailing Address - Phone:704-258-4590
Mailing Address - Fax:704-727-3135
Practice Address - Street 1:1221 ELROND DR NW
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28269
Practice Address - Country:US
Practice Address - Phone:704-258-4590
Practice Address - Fax:704-727-3135
Is Sole Proprietor?:No
Enumeration Date:2006-03-25
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC200400690207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
SCQ0069EMedicaid
NC5900399Medicaid
NC1225098098Medicaid
NC2039565KMedicare PIN
NCNC4513CMedicare PIN
SCQ0069EMedicaid
NCNC4513HMedicare PIN
NC2039565CMedicare PIN
NCNC4513AMedicare PIN
NC129425Medicare UPIN
NC5900399Medicaid
NCNC4513EMedicare PIN
NC2039565EMedicare PIN
NCNC4513FMedicare PIN
NCNC4513GMedicare PIN
NC2039565HMedicare PIN
NCNC4513BMedicare PIN
NCNC4513DMedicare PIN
NC1225098098Medicaid
NC2039565DMedicare PIN
NC2039565MMedicare PIN