Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

DR. BILLY PAUL JONES M.D.
NPI 1053348458
Pediatrics in Knoxville, TN

Q: What is Billy Jones's NPI number?

The NPI number for Billy Jones is 1053348458. It was assigned to this individual provider in the NPPES registry on June 28, 2006.

Q: What is Billy Jones's specialty?

The primary specialty registered for this NPI is Pediatrics with taxonomy code 208000000X.

Q: When was this NPI record last updated?

The NPPES record for Billy Jones was last updated on October 12, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 26 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.

Active since June 28, 2006PECOS Enrolled

2018 W CLINCH AVE, KNOXVILLE, TN 37916(865) 541-8000 Get Directions Write a Review

NPPES record last updated: October 12, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Oct 12, 2026, Aug 14, 2025 (2 updates tracked since 2025).

On this page

About Dr. Billy Paul Jones M.d. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

DR. BILLY PAUL JONES M.D. (NPI 1053348458) is an individual pediatrics provider in Knoxville, Tennessee, licensed in Kentucky (C2876) and active in the NPI registry since June 2006. He is enrolled in Medicare PECOS and maintains a secondary practice location in Owensboro.

NPPES Registry Identity

NPI1053348458

Entity TypeIndividualMale

Primary Taxonomy208000000X

Provider Legal NameDR. BILLY PAUL JONESCredential: M.D.

Location Address2018 W CLINCH AVEKnoxville, TN 37916-2301

Mailing Address828 Weatherly Hills BlvdKnoxville, TN 37934-1631 · (865) 803-2260

Phone(865) 541-8000

Sole ProprietorNo

Enumeration DateJune 28, 2006

Last NPPES UpdateOctober 12, 20262 updates tracked since enumeration

NPPES CertifiedOctober 12, 2026

✔ NPI 1053348458 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatricsAllopathic & Osteopathic Physicians

Taxonomy Code208000000X

Licenses✔ Licensed in KY · C2876✔ Licensed in TN · MD33930

Definition

A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and chronic diseases. A pediatrician deals with biological, social and environmental influences on the developing child, and with the impact of disease and dysfunction on development.

Also ListedPediatrics · Pediatric Emergency MedicineTaxonomy 2080P0204X · License MD33930 (TN)

2018 W CLINCH AVE, Knoxville, TN 37916

Open in Google Maps ↗

Secondary Practice Location 1

Location 11201 Pleasant Valley RdOwensboro, KY 42303-9811 · Phone (270) 417-4705 · Fax (270) 417-4709

Other Identifiers 3

Other4016639TN · Blue Cross

Medicaid64037161KY

Medicaid3899380TN

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, BlueCross BlueShield of Tennessee, Cigna Healthcare.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Billy Paul Jones M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Billy Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Southeastern Emergency Physicians LLC

185 mi

Emergency Medicine

989 MEDICAL PARK DR
Maysville, KY 41056

Reassigned Medicare billing, Tennessee enrollment
1,071 clinicians in this Medicare group

NPI 1356379382 (606) 759-5311

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37916 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient

$81.53 typical visit price

range $52.64 – $160.89

Typical copayment $20.38 (range $13.16 – $40.22)

Most-billed visit code 99203

Established Patient

$93.60 typical visit price

range $16.72 – $131.41

Typical copayment $23.40 (range $4.18 – $32.85)

Most-billed visit code 99214

Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. HEATHER DAWN PHILLIPS DO

Anesthesiology (Pediatric Anesthesiology)