Provider Demographics
NPI:1124069240
Name:JONES, STEPHEN FRED (MD)
Entity type:Individual
Prefix:
First Name:STEPHEN
Middle Name:FRED
Last Name:JONES
Suffix:
Gender:
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3015 STEELE STATION RD
Mailing Address - Street 2:
Mailing Address - City:RAINBOW CITY
Mailing Address - State:AL
Mailing Address - Zip Code:35906-8722
Mailing Address - Country:US
Mailing Address - Phone:256-203-4844
Mailing Address - Fax:256-459-5218
Practice Address - Street 1:3015 STEELE STATION RD
Practice Address - Street 2:
Practice Address - City:RAINBOW CITY
Practice Address - State:AL
Practice Address - Zip Code:35906-8722
Practice Address - Country:US
Practice Address - Phone:256-203-4844
Practice Address - Fax:256-459-5218
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2025-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AL00014926207P00000X
AL14926208VP0000X
ALMD.14926207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
No207P00000XAllopathic & Osteopathic PhysiciansEmergency Medicine
No208VP0000XAllopathic & Osteopathic PhysiciansPain MedicinePain Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
AL009935113Medicaid
AL009935113Medicaid
D42542Medicare UPIN