Healthcare Provider Details

I. General information

NPI: 1275647430
Provider Name (Legal Business Name): GEOFFREY LEE JONES M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/17/2006
Last Update Date: 07/08/2026
Certification Date: 07/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2401 E ST NW
WASHINGTON DC
20226-0016
US

IV. Provider business mailing address

PO BOX 63314
CHARLOTTE NC
28263-3314
US

V. Phone/Fax

Practice location:
  • Phone: 202-235-7475
  • Fax:
Mailing address:
  • Phone: 828-696-1312
  • Fax: 828-696-1314

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License NumberMD500003459
License Number StateDC
# 2
Primary TaxonomyN
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number200500210
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: