Provider Demographics
NPI:1790904381
Name:JONES MEDICAL
Entity Type:Organization
Organization Name:JONES MEDICAL
Other - Org Name:ALBERT JONES JR
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ALBERT
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:JR
Authorized Official - Credentials:
Authorized Official - Phone:478-784-7941
Mailing Address - Street 1:PO BOX 20314
Mailing Address - Street 2:
Mailing Address - City:MACON
Mailing Address - State:GA
Mailing Address - Zip Code:31205-0314
Mailing Address - Country:US
Mailing Address - Phone:478-784-7941
Mailing Address - Fax:
Practice Address - Street 1:883 FULTON ST
Practice Address - Street 2:
Practice Address - City:MACON
Practice Address - State:GA
Practice Address - Zip Code:31206-1817
Practice Address - Country:US
Practice Address - Phone:478-784-7941
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-24
Last Update Date:2008-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00677432AMedicaid
GA370017OtherWELLCARE
GA00677432AMedicaid