MEDICARE: BILLY C JONES DO

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	207R00000X	Internal Medicine Physician	1461	TN

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	4211223	OTHER	TN	BCBS

General Provider Information

NPI Number	:	1205830015
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	BILLY C JONES DO

Provider Business Mailing Address
First Line	:	743 HAPPY VALLEY RD
Second Line	:
City	:	BELL BUCKLE
State	:	TN
Zip	:	37020-4365
Country	:	US
Telephone Number	:	931-261-5959
Fax Number	:

Provider Business Practice Location Address
First Line	:	121 LASSETER DR
Second Line	:
City	:	MURFREESBORO
State	:	TN
Zip	:	37130-4026
Country	:	US
Telephone Number	:	159-567-9196
Fax Number	:	615-896-7490

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

Provider Enumeration Date	:	06/09/2005
Last Update Date	:	11/05/2019

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