Donovan D. Jones Jr., DMD

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN008580 Issued in GA

Practice address

1027 Bateman Dr
Suite C
Social Circle, GA 30025-5025

Phone

(770) 464-1900

Fax

(770) 573-4337

NPI assigned

Aug 11, 2006

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1033120407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 BATEMAN DR",
            "address_2": "SUITE C",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300255025",
            "telephone_number": "770-464-1900",
            "fax_number": "770-573-4337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1027 BATEMAN DR",
            "address_2": "SUITE C",
            "city": "SOCIAL CIRCLE",
            "state": "GA",
            "postal_code": "300255025",
            "telephone_number": "770-464-1900",
            "fax_number": "770-573-4337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "DONOVAN",
        "middle_name": "D.",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "DMD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-08-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN008580",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "UNITED CONCORDIA ID#",
            "identifier": "01335500",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terry Wayne Hansen, M.D.
• Dyamond Hay, DPT
• Angela Jeanette Hodges, D.M.D.
• Iroemeha Christian Ike, RPH
• Maraugwu Nkem Ike, RN
• Just for Kids Therapy Services, Inc.
• Kevin D Lanclos, MD
• Kimberly Gibson Lane, RDN
• Denny Lee Malcom, DDS
• Marmalade Healthcare LLC (Abbey Hospice)

• General Practice Dentistry in Social Circle, GA
• Providers in Social Circle, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.