Individual ProviderLesley Ann JonesFamily MedicineAllopathic & Osteopathic PhysiciansPractice Address2012 Brookside Dr, Ste 6, Kingsport, TN 37660-4645(423) 247-0462PECOS EnrollmentThis provider is enrolled in PECOS as LESLEY JONES.Based on the most recent information from CMS, provider Lesley Ann Jones is legally eligible to order and refer claims for DME and PMD services only.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentEnrolledPMDPower Mobility DeviceEnrolledCMS last updated its PECOS records 6 days ago.Profile DetailsProvider ID1053479139Provider TypeIndividualFull NameJones, Lesley AnnTitleMs.CredentialMDGenderFemaleSole ProprietorNoEnumeration Date12/4/2006Last Updated7/8/2007Contact InformationPractice LocationPractice Address2012 Brookside Dr, Ste 6, Kingsport, TN 37660-4645Phone(423) 247-0462Fax(423) 247-0465Mailing LocationMailing Address2012 Brookside Drive, Ste 6, Kingsport, TN 37660-4645Phone(423) 247-0462Fax(423) 247-0465Provider TaxonomiesCodeDescriptionLicenseCode207Q00000XPrimaryDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicenseMD0000024370TennesseeCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense0101049268VirginiaCode207Q00000XDescriptionFamily MedicineAllopathic & Osteopathic PhysiciansLicense35148North CarolinaProvider IdentifiersIDDescriptionIssuerID3108307DescriptionOtherIssuerBCBS OF TNTennesseeID00325400DescriptionOtherIssuerANTHEM BCBSID3108307DescriptionMedicaidIssuerUnlistedTennessee