Active NPI
Jenna Tong, CNM
- Advanced Practice Midwife
- Suwanee, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Advanced Practice Midwife
- License
- RN298050
- Practice address
- 2685 Peachtree Pkwy Ste 300
Suwanee, GA 30024-1048 - Phone
- (770) 771-5270
- NPI assigned
- Jun 3, 2022
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Advanced Practice Midwife | 367A00000X | CNM07804 | GA | |
| Advanced Practice Midwife | 367A00000X | RN298050 | GA | Primary |
Addresses
Primary practice location
2685 Peachtree Pkwy Ste 300
Suwanee, GA 30024-1048
Mailing address
1914 Variations Dr NE
Atlanta, GA 30329-1009
Phone (310) 387-2135
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: No
- Power mobility devices: No
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Certified Nurse Midwife (CNM)
- Education
- Other, 2022
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
4560 Admiralty Way
Suite 105
Marina del Rey, CA 90292-5424
Phone (310) 694-5255
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Certified Nurse Midwife
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CNM07804 | GA | MD | Advanced Practice Midwife |
| RN298050 | GA | MD | Advanced Practice Midwife |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dr. Jamie a. Lipeles, a Professional Medical Corporation | Single Specialty | Current | Accepting new patients |
Locations
301 W Carson St
Carson, CA 90745
Phone (310) 694-5255
11602 Hawthorne Blvd
Ste C
Hawthorne, CA 90250
11602 Hawthorne Blvd
Ste A
Hawthorne, CA 90250
Phone (310) 263-1400
2401 E 1st St
Los Angeles, CA 90033
Phone (310) 694-5255
4560 Admiralty Way
Ste 105
Marina del Rey, CA 90292
Phone (310) 629-2447
4500 Tweedy Blvd
South Gate, CA 90280
Phone (310) 694-5255
2320 Redondo Beach Blvd
Torrance, CA 90504
Phone (310) 323-6646
Networks
- BSC 65 PLUS INDIVIDUAL MAPD
Interoperability endpoints
- jenna.tong.1@14654.direct.athenahealth.com
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Obstetrics & Gynecology Physician
- Hawthorne, CA
- NPI 1760756860
Single Specialty
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1654214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658188800000",
"number": "1013656354",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1914 VARIATIONS DR NE",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303291009",
"telephone_number": "310-387-2135"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2685 PEACHTREE PKWY STE 300",
"city": "SUWANEE",
"state": "GA",
"postal_code": "300241048",
"telephone_number": "770-771-5270"
}
],
"practiceLocations": [],
"basic": {
"last_name": "TONG",
"first_name": "JENNA",
"credential": "CNM",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2022-06-03",
"last_updated": "2022-07-19",
"certification_date": "2022-07-19",
"status": "A"
},
"taxonomies": [
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "CNM07804",
"primary": false
},
{
"code": "367A00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Advanced Practice Midwife",
"state": "GA",
"license": "RN298050",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Suwanee, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.