Jessica Ming-Chu Doyle, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

002850 Issued in GA

Practice address

2213 Exchange PL SE
Conyers, GA 30013-6723

Phone

(770) 483-4431

Fax

(770) 760-7200

NPI assigned

Jan 15, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: jessica.doyle.1@7316.direct.athenahealth.com
• FHIR API: https://api.platform.athenahealth.com/7316/brand/1/csg/1/fhir/r4

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.

• Oakhurst Pediatrics, LLC

  • Primary Care Clinic/Center
  • Decatur, GA
  • NPI 1295175909
  NPD (past) Authorized official

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

{
    "created_epoch": "1200355200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1368662400000",
    "number": "1043496565",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2213 EXCHANGE PL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2213 EXCHANGE PL SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136723",
            "telephone_number": "770-483-4431",
            "fax_number": "770-760-7200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DOYLE",
        "first_name": "JESSICA",
        "middle_name": "MING-CHU",
        "name_prefix": "Ms.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-15",
        "last_updated": "2013-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "002850",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lisa Douglas, PHARM.D.
• Tyneisha Donisha Douglas, CLINICAL SOCIAL WORK
• Deirdre Dolan Douglass, P.T.
• Jamyah Douglass
• Phyllis Burr Dove-Edwin
• Dr Transport LLC
• Deanna Drayton, RBT
• Dream 4 You Coaching and Counseling Services
• Drips in Motion Infusion Bar LLC
• Dsi Conyers, LLC

• Pediatrics Physician in Conyers, GA
• Providers in Conyers, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.