1184592438 NPI number — MR. JAMES MICHAEL JONES EDD, FACHE, CIC

Table of content: MR. JAMES MICHAEL JONES EDD, FACHE, CIC (NPI 1184592438)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1184592438 NPI number — MR. JAMES MICHAEL JONES EDD, FACHE, CIC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
JONES
Provider First Name:
JAMES
Provider Middle Name:
MICHAEL
Provider Name Prefix Text:
MR.
Provider Name Suffix Text:
Provider Credential Text:
EDD, FACHE, CIC
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
JONES
Provider Other First Name:
J MICHAEL
Provider Other Middle Name:
Provider Other Name Prefix Text:
MR.
Provider Other Name Suffix Text:
Provider Other Credential Text:
EDD, FACHE, CIC
Provider Other Last Name Type Code:
5

NPI Number Information

NPI Number:
1184592438
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
10/28/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 35
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
ARIPEKA
Provider Business Mailing Address State Name:
FL
Provider Business Mailing Address Postal Code:
34679-0035
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
615-232-4197
Provider Business Mailing Address Fax Number:
813-308-2829

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
3341 MANGROVE DR
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HERNANDO BEACH
Provider Business Practice Location Address State Name:
FL
Provider Business Practice Location Address Postal Code:
34607-2842
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
615-232-4197
Provider Business Practice Location Address Fax Number:
813-308-2829
Provider Enumeration Date:
10/28/2025

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 156F00000X , with the licence number:  TN31718 , registered in the state of FL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)