Provider Demographics
NPI:1518953900
Name:JONES, WAYNE A (MD)
Entity Type:Individual
Prefix:MR
First Name:WAYNE
Middle Name:A
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 449
Mailing Address - Street 2:
Mailing Address - City:ELKMONT
Mailing Address - State:AL
Mailing Address - Zip Code:35620-0449
Mailing Address - Country:US
Mailing Address - Phone:256-732-3712
Mailing Address - Fax:256-732-3714
Practice Address - Street 1:25442 AL HIGHWAY 127
Practice Address - Street 2:
Practice Address - City:ELKMONT
Practice Address - State:AL
Practice Address - Zip Code:35620-6608
Practice Address - Country:US
Practice Address - Phone:256-732-3712
Practice Address - Fax:256-732-3714
Is Sole Proprietor?:No
Enumeration Date:2005-09-21
Last Update Date:2021-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00019353207P00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL051010196OtherBCBS
AL009936307Medicaid
AL051010189OtherBCBS PROVIDER NUMBER
AL009922300Medicaid
AL5166653OtherAETNA
AL000010189Medicaid
AL051010196Medicare PIN
AL930076419Medicare PIN
AL051010196OtherBCBS
AL009922300Medicaid
AL051010189Medicare PIN