Active NPI
Shavon L Jones
- Prosthetics Case Management
- Stone Mountain, GA
National Provider Identifier
1083351019
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetics Case Management
- Practice address
- 4762 Lost Colony CT
Stone Mountain, GA 30088-3522 - Phone
- (267) 370-6972
- Fax
- (404) 994-7006
- NPI assigned
- May 20, 2022
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Orthotic Fitter | 225000000X | GA | ||
| Prosthetics Case Management | 1744P3200X | GA | Primary |
Addresses
Primary practice location
4762 Lost Colony CT
Stone Mountain, GA 30088-3522
Mailing address
4762 Lost Colony CT
Stone Mountain, GA 30088-3522
Phone (267) 370-6972
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 881612487 | Other | GA | CRANIAL PROSTHESIS |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1653004800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1656979200000",
"number": "1083351019",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4762 LOST COLONY CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300883522",
"telephone_number": "267-370-6972",
"fax_number": "404-994-7006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4762 LOST COLONY CT",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300883522",
"telephone_number": "267-370-6972",
"fax_number": "404-994-7006"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SHAVON",
"middle_name": "L",
"name_prefix": "Ms.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-05-20",
"last_updated": "2022-07-05",
"certification_date": "2022-07-05",
"status": "A"
},
"taxonomies": [
{
"code": "225000000X",
"taxonomy_group": "",
"desc": "Orthotic Fitter",
"state": "GA",
"license": null,
"primary": false
},
{
"code": "1744P3200X",
"taxonomy_group": "",
"desc": "Specialist, Prosthetics Case Management",
"state": "GA",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CRANIAL PROSTHESIS",
"identifier": "881612487",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
- Violet Oluyinka Jonah
- Jones Cody Personal Care Home Inc
- Chatice Jones, PHLEBOTOMIST
- Danielle Yvette Jones, MEDICAL ASSISTANT
- Laurie Jones, ND, MPH, LPC, NCC
- Treva G. Jones, LCSW, MAC
- Gautam Joshi
- Journeywell Non-Emergency Medical Transport
- K&M Intervention Services LLC
- Mahlayana Primrose Kalembo, PT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.