Individual provider Active NPI

Meredith Lee Jones, DC

  • Chiropractor
  • Newnan, GA
National Provider Identifier
1104409945
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR010379 Issued in GA
Practice address
21 Market Square Way Ste 103
Newnan, GA 30265-5712
Phone
(678) 423-2865
Fax
(678) 802-4896
NPI assigned
Apr 29, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR010379 GA Primary

Addresses

Primary practice location

21 Market Square Way Ste 103
Newnan, GA 30265-5712

Mailing address

21 Market Square Way Ste 103
Newnan, GA 30265-5712
Phone (678) 423-2865

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210923002765 GA Practitioner - Chiropractic 3779980339 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Dynamic Spine Center CurrentSince Sep 17, 2021 Accepting new patients
Dynamic Spine II Center LLC CurrentSince Sep 17, 2021 Accepting new patients

Locations

21 Market Square Way
Ste 103
Newnan, GA 30265
Phone (678) 423-2865

21 Market Square Way
Ste 103104
Newnan, GA 30265

2836 Highway 54
Peachtree Cty, GA 30269
Phone (678) 423-2865

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1619654400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1740614400000",
    "number": "1104409945",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 MARKET SQUARE WAY STE 103",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655712",
            "telephone_number": "678-423-2865",
            "fax_number": "678-802-4896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "21 MARKET SQUARE WAY STE 103",
            "city": "NEWNAN",
            "state": "GA",
            "postal_code": "302655712",
            "telephone_number": "678-423-2865",
            "fax_number": "678-802-4896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MEREDITH",
        "middle_name": "LEE",
        "credential": "DC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-04-29",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR010379",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Newnan, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.