MEDICARE: JONES MEDICAL LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	207RA0401X	Addiction Medicine (Internal Medicine) Physician

General Provider Information

NPI Number	:	1780515502
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	JONES MEDICAL LLC

Provider Business Mailing Address
First Line	:	2507 HODGES ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7309
Country	:	US
Telephone Number	:	337-513-6121
Fax Number	:	877-794-0365

Provider Business Practice Location Address
First Line	:	2507 HODGES ST
Second Line	:
City	:	LAKE CHARLES
State	:	LA
Zip	:	70601-7309
Country	:	US
Telephone Number	:	337-513-6121
Fax Number	:	877-794-0365

Authorized Official
Title or Position	:	OWNER
Name	:	CHRISTINA JONES
Credential	:	MD
Telephone Number	:	337-513-6121

Provider Enumeration Date	:	05/28/2026
Last Update Date	:	05/29/2026

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