DERRICK WESLEY JONES (NPI# 1750867776) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750867776 |
| Entity Type | Individual |
| Full Name | DERRICK WESLEY JONES |
| Credential | ATC |
| Practice Address |
275 W Broad St Decatur MS 39327-8985 |
| Mailing Address |
6753 Chapel Hill Rd Decatur MS 39327-8518 |
| Practice Telephone | 6014796977 |
| Practice Fax Number | 6016354099 |
| Mailing Telephone | 6014796977 |
| Mailing Fax Number | 6016354099 |
| Enumeration Date | 2018-07-12 |
| Last Update Date | 2018-07-12 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
AT0354 | MS | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033759212 | Derrick Michael Jones | Physician Assistant | 12710 Se Division St, Portland, OR 97236-3134 | 2020-01-15 |
| 1326355405 | Derrick Jones | Pharmacist | 310 Fairview Ave, Ponca City, OK 74601-2001 | 2010-09-10 |
| 1689712655 | Derrick Jones | Radiology | 601 E Rollins St, Orlando, FL 32803 | 2007-02-02 |
| 1477669984 | Derrick D. Jones | Anesthesiology | 9150 Estate Thomas, Suite #106, St Thomas, VI 00802-2611 | 2006-08-21 |
| Street Address |
275 W BROAD ST |
| City | DECATUR |
| State | MS |
| Zip Code | 39327-8985 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730635087 | Elite Physical Therapy and Wellness, Inc. | Clinic/Center | 135 7th St, Decatur, MS 39327 | 2016-08-28 |
| 1073853107 | Morgan W Morris | Physical Therapy Assistant | 135 Seventh Street, Decatur, MS 39327 | 2013-02-27 |
| 1508078197 | Newton County Schools | Speech-Language Pathologist | 15305 Highway 15, Decatur, MS 39327 | 2007-05-04 |
| 1275752743 | Emily Boggan Thompson | Pharmacist | 95 West Broad Street, Decatur, MS 39327 | 2007-04-24 |
| 1528041639 | John C. Mutziger I | Family Medicine | 14884 Hwy 15, Decatur, MS 39327 | 2005-11-22 |
| 1578082251 | Brandi R Hurdle | Nurse Practitioner | 14884 Highway 15, Decatur, MS 39327 | 2017-09-14 |
| 1093262610 | Krystle Monk | Nurse Practitioner | 14884 Hwy 15, Decatur, MS 39327 | 2016-09-01 |
| 1770963134 | Leticia Seydel | Counselor | 92 South 6th Avenue, Decatur, MS 39327 | 2015-06-01 |
| 1982004859 | James Cary Bradshaw | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2014-08-28 |
| 1033460878 | Laird Hospital, Inc. | Family Medicine | 14884 Highway 15, Decatur, MS 39327 | 2012-09-19 |
| Find all providers in zip 39327 | ||||
| Taxonomy Code | 2255A2300X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Specialist/Technologist |
| Specialization | Athletic Trainer |
| Athletic trainers are allied health care professionals who work in consultation with or under the direction of physicians, and specialize in the prevention, assessment, treatment and rehabilitation of injuries and illnesses. Currently, the entry-level employment requirements are a bachelor’s degree with a major in athletic training from an accredited university or college. A majority of athletic trainers hold advanced degrees. National board certification is generally required as a condition of state licensure and employment. Most states regulate athletic trainers, and they practice within the scope of that license or regulation. Clinical practice includes emergency care, rehabilitation, reconditioning, therapeutic exercise, wellness programs, exercise physiology, kinesiology, biomechanics, nutrition, psychology and health care administration. |
| Notes: Source: National Athletic Trainers’ Association (www.NATA.org) [1/1/2006: modified definition, modified source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134746860 | Faith Helen Heyl | Specialist/Technologist | 1032 Parc Ln W, Decatur, GA 30033-4065 | 2020-06-29 |
| 1861039059 | Furman Harold Riley Jr. | Specialist/Technologist | 212 Ridgeland Ave, Decatur, GA 30030-2056 | 2019-12-06 |
| 1720637614 | Tisha Marie Hess | Specialist/Technologist | 2538 E Lost Bridge Rd, Decatur, IL 62521-4408 | 2019-09-04 |
| 1922566199 | Hannah Daily | Specialist/Technologist | 5969 Kentland Dr, Decatur, IL 62521-8754 | 2019-03-06 |
| 1952875171 | Adam Lucas Hotaling | Specialist/Technologist | 951 Fortenberry Rd, Decatur, TX 76234-5817 | 2019-01-22 |
| 1720569106 | Marc Anthony Lara | Specialist/Technologist | 405 N Cates St, Decatur, TX 76234-1504 | 2018-08-23 |
| 1871079442 | Jackson Randall Therrien | Specialist/Technologist | 224 Crows Nest Cir, Decatur, MS 39327-9186 | 2018-07-17 |
| 1720573447 | Jonathan Clark | Specialist/Technologist | 1214 Highland Lake Cir, Decatur, GA 30033-3460 | 2018-06-25 |
| 1811492812 | Taylor Zolecki | Specialist/Technologist | 885 W Grove Rd, Decatur, IL 62521-9058 | 2018-03-29 |
| 1669975330 | Chadwick Arthur Layton | Specialist/Technologist | 1503 S Cliff St, Decatur, TX 76234-2826 | 2018-03-08 |
| Find all providers in DECATUR | ||||
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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.