Provider Demographics
NPI:1831306992
Name:JONES FAMILY PRACTICE, P.A.
Entity Type:Organization
Organization Name:JONES FAMILY PRACTICE, P.A.
Other - Org Name:HOPSCOTCH PRIMARY CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:JONES
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:828-487-5228
Mailing Address - Street 1:113 E GROVER ST
Mailing Address - Street 2:
Mailing Address - City:SHELBY
Mailing Address - State:NC
Mailing Address - Zip Code:28150-3803
Mailing Address - Country:US
Mailing Address - Phone:704-487-5228
Mailing Address - Fax:704-482-4284
Practice Address - Street 1:113 E GROVER ST
Practice Address - Street 2:
Practice Address - City:SHELBY
Practice Address - State:NC
Practice Address - Zip Code:28150-3803
Practice Address - Country:US
Practice Address - Phone:704-487-5228
Practice Address - Fax:704-482-4284
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-17
Last Update Date:2024-04-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes305R00000XManaged Care OrganizationsPreferred Provider Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC89126G9Medicaid
NC8947300Medicaid
NC8947324Medicaid
NC891282MMedicaid
NC2292135Medicare ID - Type UnspecifiedCHRISTIAN MARTIN MD
NC8947324Medicaid
NCC84780Medicare UPIN
NC207667BMedicare ID - Type UnspecifiedROBERT JONES MD
NC2280146Medicare ID - Type UnspecifiedREBECCA LOVE MD
NCH45218Medicare UPIN
NCC87515Medicare UPIN
NC8947300Medicaid
NC89126G9Medicaid