MEDICARE: DR. JAMES J JONES SR. PA-C

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	363A00000X	Physician Assistant	1045432	KY
2	363AM0700X	Medical Physician Assistant	1045432	VA
3	363AM0700X	Medical Physician Assistant	PA14904	TX

General Provider Information

NPI Number	:	1134277445
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JAMES J JONES SR. PA-C

Provider Business Mailing Address
First Line	:	7598 HOLLY BUSH WAY
Second Line	:
City	:	FALLS CHURCH
State	:	VA
Zip	:	22043-3912
Country	:	US
Telephone Number	:	571-282-8669
Fax Number	:

Provider Business Practice Location Address
First Line	:	8901 WISCONSIN AVE
Second Line	:
City	:	BETHESDA
State	:	MD
Zip	:	20889-4504
Country	:	US
Telephone Number	:	210-916-7595
Fax Number	:	210-916-5102

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	01/05/2007
Last Update Date	:	01/29/2025

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