NICOLE JONES MD
NPI 1427443019
Hospitalist in Jackson, TN
NPI Status: Active since April 01, 2015
Contact Information
620 SKYLINE DR
JACKSON, TN
ZIP 38301
Phone: (731) 541-3250
Fax: (731) 541-5187
- Individual
- Female
- Hospitalist
- Accepts Insurance
- PECOS Enrolled
About NICOLE JONES
This page provides the complete NPI Profile along with additional information for Nicole Jones, a provider established in Jackson, Tennessee with a medical specialization in Hospitalist. The healthcare provider is registered in the NPI registry with number 1427443019 assigned on April 2015. The practitioner's primary taxonomy code is 208M00000X with license number 57759 (TN). The provider is registered as an individual and her NPI record was last updated 2 years ago.
- NPI
- 1427443019
- Provider Name
- NICOLE JONES MD
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 620 SKYLINE DR JACKSON, TN 38301
- Location Phone
- (731) 541-3250
- Location Fax
- (731) 541-5187
- Mailing Address
- 1804 HIGHWAY 45 BYP STE 604 JACKSON, TN 38305
- Mailing Phone
- (731) 660-8781
- Mailing Fax
- (731) 541-5187
- Is Sole Proprietor?
- No
- Enumeration Date
- 04-01-2015
- Last Update Date
- 01-27-2023
- Code Navigator
Location Map
Secondary Locations
- 1501 Kings Hwy Pediatrics
Shreveport, LA 71103
(318) 675-8600
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Hospitalist
- Taxonomy Code
- 208M00000X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 57759
- License State
- TN
- Taxonomy Description
- Hospitalists are physicians whose primary professional focus is the general medical care of hospitalized patients. Their activities include patient care, teaching, research, and leadership related to Hospital Medicine. The term 'hospitalist' refers to physicians whose practice emphasizes providing care for hospitalized patients.
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 208000000X | Allopathic & Osteopathic Physicians | Pediatrics | 57759 (TN) |
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- BlueCross B07E HSA - EPO
- BlueCross B15E $0 virtual care from Teladoc Health � - EPO
- BlueCross B16E $50 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross B17E $0 virtual care from Teladoc Health � + Adult Dental - EPO
- BlueCross G06E $35 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross G08E $30 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S25E $55 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S26E $40 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S27E $60 PCP Copay + $0 virtual care from Teladoc Health � - EPO
- BlueCross S29E $60 PCP Copay + $0 virtual care from Teladoc Health � + Adult Dental - EPO
- UHC Bronze Copay Focus (No Referrals) - EPO
- UHC Bronze Copay Focus+ (Dental + Vision, No Referrals) - EPO
- UHC Bronze Standard (No Referrals) - EPO
- UHC Bronze Value (No Referrals) - EPO
- UHC Gold Advantage (No Referrals) - EPO
- UHC Gold Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Gold Copay Focus (No Referrals) - EPO
- UHC Gold Standard (No Referrals) - EPO
- UHC Silver Advantage (No Referrals) - EPO
- UHC Silver Advantage+ (Dental + Vision, No Referrals) - EPO
- UHC Silver Copay Focus (No Referrals) - EPO
- UHC Silver Standard (No Referrals) - EPO
- EssentialSmile Tennessee - Total Care - EPO
- Smile Now Tennessee - No Waiting Period PPO - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Medicare Participation & PECOS Enrollment Status
Nicole Jones is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Physician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 38301 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99204
- Average New Patient Price $121.8
- Minimum New Patient Price $52.64
- Maximum New Patient Price $160.89
- Average New Patient Copayment $30.45
- Minimum New Patient Copayment $13.16
- Maximum New Patient Copayment $40.22
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $93.6
- Minimum Established Patient Price $16.72
- Maximum Established Patient Price $131.41
- Average Established Patient Copayment $23.4
- Minimum Established Patient Copayment $4.18
- Maximum Established Patient Copayment $32.85
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
Reviews for NICOLE JONES MD
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 4 | 2 | 7 | 4 | 4 | 3 | 0 | 1 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 4 | 4 | 7 | 8 | 4 | 6 | 0 | 2 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 4 + 4 + 7 + 8 + 4 + 6 + 0 + 2 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1427443019 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 20 providers are registered at the same or nearby location.
JULIE A MCBROOM CRNA
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
DR. NATHAN JOHN HOELDTKE M.D.
Obstetrics & Gynecology
(Maternal & Fetal Medicine)
620 SKYLINE DR
MID-SOUTH PERINATAL ASSOCIATES
JACKSON, TN
ZIP 38301
MR. CARL WILLIAM SISCO CRNA
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
PRISCILLA SIOSON-AHERRERA MD
Internal Medicine
(Infectious Disease)
620 SKYLINE DR
JACKSON, TN
ZIP 38301
JACKSON MADISON COUNTY GENERAL HOSPITAL
General Acute Care Hospital
620 SKYLINE DR
JACKSON, TN
ZIP 38301
JULIE TAN ANTIQUE MD
Internal Medicine
(Infectious Disease)
620 SKYLINE DR
JACKSON, TN
ZIP 38301
DR. ANASTASIOS L GEORGIOU M.D.
Radiology
(Radiation Oncology)
620 SKYLINE DR
RADIATION ONCOLOGY DEPT
JACKSON, TN
ZIP 38301
DR. HANS S BEZ D.O.
Emergency Medicine
620 SKYLINE DR
JACKSON, TN
ZIP 38301
SHELLEY JELINEK CRNA
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
DANA WILSON RN
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
MRS. CHERYL L HARPER CRNA
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
TRAVIS L CARTER III CRNA
Nurse Anesthetist, Certified Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
MR. DANIEL PHILLIP CLEMENTS PA-C
Physician Assistant
(Medical)
620 SKYLINE DR
JACKSON, TN
ZIP 38301
MRS. JACLYN MARIE UTLEY OTR/L
Community Health Worker
620 SKYLINE DR
JACKSON, TN
ZIP 38301
KRISTI DEE MCCUAN RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
KELLY MARYANN PORTER RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
ASHLEY ANN MOORE RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
ELIZABETH ANDREA BLOW RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
SAMARA Y WRIGHT RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
DEBRA B WHITBY RD
Dietitian, Registered
620 SKYLINE DR
JACKSON, TN
ZIP 38301
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1427443019, enumerated as an "individual" on April 01, 2015.
The provider is located at 620 SKYLINE DR JACKSON, TN 38301 and the phone number is (731) 541-3250.
Hospitalist with taxonomy code 208M00000X.
The provider might be accepting Accepts: BlueCross BlueShield of Tennessee and. Please consult your insurance carrier or call the provider to verify.
