Cory Wyatt Jones

MD | Pediatric Gastroenterology | Male

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Complete Profile:

Cory Wyatt Jones basic information including his official name, gender, specialization, credentials etc. are as mentioned below.

Specialization :	Pediatrics Pediatric Gastroenterology
Provider Name :	Cory Wyatt Jones
Credential :	MD
Gender :	Male

Business Address:

Cory Wyatt Jones address, contact phone number and fax are as below. Patients can directly walkin to the clinic or can call on the below given phone number for appointment.

Primary Address :	14 Richland Medical Park Dr Ste 310 Columbia, SC, 29203-6883 United States
Phone Number :	803-434-8450

Professional Identification Codes:

NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). NPI details are as mentioned below.

NPI Number :	1679950570
NPI Entity Type :	Individual
First Enrolment Date :	29 Apr, 2015
Last Updated On :	17 Aug, 2021

Medicare Participation:

Cory Wyatt Jones participates in medicare and accepts medicare insurance either directly or through association with group practice or medical facility.

Medicare PECOS ID :	7012226194
Medicare Enrollment ID :	I20210825000270
Primary Specialty :	Pediatric Medicine
Medical School :	Other
Graduation Year :	2015
Accepts Medicare?	Yes. Cory Wyatt Jones accepts medicare insurance.

Group Practice Association:

Cory Wyatt Jones is associated with following Group Practice Organizations. Group practices are practice of medicine by a group of physicians who share their premises and other resources. Following list states all the group name with which Cory Wyatt Jones is associated with along with the number of members in that group. He may also accept medicare indirectly via these group practices.

Organisation Name :	Group Practice ID	No. of Members	Practice Address	Group Accepts Medicare
Prisma Health Medical Group-midlands	5991099707	843	14 Richland Medical Park Dr Suite 310 Columbia, SC - 292036883 Ph: 8034341319	Yes

Licenses and Specialities:

Physicians/Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Cory Wyatt Jones are as mentioned. Primary taxonomy code for Cory Wyatt Jones, MD is 2080P0206X (Pediatrics Pediatric Gastroenterology).

Taxonomy Code	Speciality	Primary	License No.	State
207P00000X	Emergency Medicine	No	56409	TN
208000000X	Pediatrics	No	56409	TN
390200000X	Student in an Organized Health Care Education/Training Program	No
2080P0206X	Pediatrics Pediatric Gastroenterology	Yes	86455	SC

Other Practice Locations:

Practice Address	City, State	Phone Number
910 MADISON AVE, SUITE 1031 MEMPHIS, TN, 38163 United States	MEMPHIS, TN	901-448-5364
1500 E MEDICAL CENTER DR, ANN ARBOR, MI, 48109 United States	ANN ARBOR, MI	734-936-4717

Mailing Address:

Mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned business address only.

Mailing Address :	300 E Mcbee Ave Fl 4 Greenville, SC, 29601-2842 United States
Phone Number :	864-522-8603

Business Location:

Patients can refer following map for directions to Cory Wyatt Jones practice address. Don't forget to take prior appointment before visiting.
** Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES.