| Provider / Organization | NPI | Date Certified |
|---|---|---|
| CHARLES WESLEY JONES | 1053322461 | 2023-04-13 |
Charles W Jones PA [M] graduated in 1997 and primarily specializes in Physician Assistant.
Charles Wesley Jones is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1053322461. Registration indicates Charles Wesley Jones is a provider of access to adult/geriatric primary care providers services with a specialization in Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant: Medical, ) (All Other Specialties & Provider Types, ) (Physician Assistant Medical, Physician Assistants & Advanced Practice Nursing Providers) (Physician Assistant, ) Access to Adult/Geriatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) Access to Pediatric Primary Care Providers (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (Physician Assistant, ) (Physician Assistants & Advanced Practice Nursing Providers, Physician Assistant) (All Other Specialties & Provider Types, ) (Physician Assistant, Physician Assistants & Advanced Practice Nursing Providers)
| PECOS ID | 2961445515 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Mr. Charles Wesley Jones PA |
| Practice Office Address | 258 S CHICKASAW TRL STE 203 ORLANDO, FL US |
| Practice Office Telephone | 4073036588 |
| Practice Office Fax | 4073036592 |
| Mailing Address | 258 S CHICKASAW TRL STE 203 ORLANDO, FL 328253558 US |
| Business Telephone | 4073036588 |
| Business Fax | 4073036592 |
| Code | Practice | License No State |
|---|---|---|
| 363AM0700X | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant: Medical All Other Specialties & Provider Types Physician Assistant Medical Physician Assistants & Advanced Practice Nursing Providers Physician Assistant | PA9106981
FL |
| 363A00000X PRIMARY | Access to Adult/Geriatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician AssistantAccess to Pediatric Primary Care Providers Physician Assistants & Advanced Practice Nursing Providers Physician Assistant Physician Assistant Physician Assistants & Advanced Practice Nursing Providers Physician Assistant All Other Specialties & Provider Types Physician Assistant Physician Assistants & Advanced Practice Nursing Providers | PA9106981
FL |
| HM432Y | OTHER | FL | MEDICARE |
| 101659300 | MEDICAID | FL |