DR. EVERETT RUSSELL JONES JR. (NPI# 1720038532) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720038532 |
| Entity Type | Individual |
| Full Name | DR. EVERETT RUSSELL JONES JR. |
| Credential | M.D. |
| Practice Address |
241 Bond Town Rd Blountville TN 37617-5112 |
| Practice Telephone | 4235792114 |
| Mailing Telephone | 4235792114 |
| Enumeration Date | 2006-05-11 |
| Last Update Date | 2013-03-13 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
35-048195 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
2005-01684 | NC | Allopathic & Osteopathic Physicians |
| N | 2084P0800X |
Psychiatry & Neurology Specialization: Psychiatry |
0101051479 | VA | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
35-048195 | OH | Allopathic & Osteopathic Physicians |
| N | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
2005-01684 | NC | Allopathic & Osteopathic Physicians |
| Y | 2084P0805X |
Psychiatry & Neurology Specialization: Geriatric Psychiatry |
0101051479 | VA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| VA | DEA | FJ3472797 | 01 |
| Street Address |
241 BOND TOWN RD |
| City | BLOUNTVILLE |
| State | TN |
| Zip Code | 37617-5112 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609123231 | Mildred Elaine Denton | Social Worker | 309 South Hollow Rd, Blountville, TN 37617 | 2012-08-14 |
| 1790079010 | Samuel Riddle Jones | Obstetrics & Gynecology | 594 Bill Moody Trail, Blountville, TN 37617 | 2011-06-03 |
| 1720255631 | State of Tennessee | Public Health or Welfare | Highway 126, Blountville, TN 37617 | 2008-05-09 |
| 1194933242 | Deborah E. Vantine | Dental Hygienist | 975 Emergency Drive, Blountville, TN 37617 | 2007-05-21 |
| 1285759902 | Blountville Drug Company | Pharmacy | 3090 Hwy 126, Blountville, TN 37617 | 2007-03-20 |
| 1497890396 | Gina Carolyn Stone | Registered Nurse | 154 Blountville By-pass, Blountville, TN 37617 | 2007-02-20 |
| 1801975362 | David Shannon Fritts | Chiropractor | 1323 Hwy 394, Suite C, Blountville, TN 37617 | 2006-11-03 |
| 1154320687 | Sullivan County Ems | Ambulance | 3193 Highway 126, Blountville, TN 37617 | 2005-07-18 |
| 1861696163 | Sullivan County Regional Health Department | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37617 | 2007-06-12 |
| 1164626412 | Sullivan Health Department | Case Manager/Care Coordinator | 154 Blountville Bypass, Blountville, TN 37617 | 2007-06-12 |
| Find all providers in zip 37617 | ||||
| Taxonomy Code | 2084P0805X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Psychiatry & Neurology |
| Specialization | Geriatric Psychiatry |
| Geriatric Psychiatry is a subspecialty with psychiatric expertise in prevention, evaluation, diagnosis and treatment of mental and emotional disorders in the elderly, and improvement of psychiatric care for healthy and ill elderly patients. |
| Notes: Source: The American Board of Psychiatry and Neurology, Inc. www.abpn.com [1/1/2007: new definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730504754 | Southern Psychiatric Services | Psychiatry & Neurology | 216 North Cross Street, Oneida, TN 37841 | 2014-02-27 |
| 1053650200 | Adult and Geriatric Psychiatry Service | Psychiatry & Neurology | 1618 Strawberry Ln, Johnson City, TN 37604-7700 | 2013-02-07 |
| 1942518642 | Asana Integrated Medical Group | Psychiatry & Neurology | 106 New Bedford Ln, Oak Ridge, TN 37830-8289 | 2010-09-16 |
| 1619207958 | William A. Rafuls, Md, Inc. | Psychiatry & Neurology | 2158 Northgate Park Ln Ste 220, Chattanooga, TN 37415-6959 | 2010-01-08 |
| 1831360866 | Panacea Psychiatric Center Plc | Psychiatry & Neurology | 5651 Frist Blvd Ste 701, Hermitage, TN 37076-2061 | 2008-03-18 |
| 1588934673 | Amg-hillside, LLC | Psychiatry & Neurology | 1265 E College St, Pulaski, TN 38478-4541 | 2012-01-05 |
| 1093092066 | James R. Mcferrin, Md, PC | Psychiatry & Neurology | 2011 Ashwood Ave, Nashville, TN 37212-5015 | 2011-11-04 |
| 1992087399 | New Perspectives Psychiatry Pllc | Psychiatry & Neurology | 3549 Norriswood Ave, Memphis, TN 38111-5911 | 2011-09-13 |
| 1215172473 | Meredith C. Walgren | Psychiatry & Neurology | 2300 Patterson St, Nashville, TN 37203-1538 | 2008-12-02 |
| 1619149739 | Symed Nc, LLC | Psychiatry & Neurology | 3150 Lenox Park Blvd, Suite 214, Memphis, TN 38115-4299 | 2008-03-28 |
| Find all providers with the same taxonomy | ||||
| City | BLOUNTVILLE |
| Zip Code | 37617 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.