Active NPI
Brian Kenneth Jones, M.ED
- Audiologist
- Cumming, GA
National Provider Identifier
1104482983
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Audiologist
- License
- AUD003658
- Practice address
- 564 Peachtree Pkwy Ste 106
Cumming, GA 30041-7401 - Phone
- (678) 771-8857
- Fax
- (678) 771-8862
- NPI assigned
- May 16, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Audiologist-Hearing Aid Fitter | 237600000X | AUD003658 | GA | |
| Audiologist | 231H00000X | AUD003658 | GA | Primary |
Addresses
Primary practice location
564 Peachtree Pkwy Ste 106
Cumming, GA 30041-7401
Mailing address
564 Peachtree Pkwy Ste 106
Cumming, GA 30041-7401
Phone (678) 771-8857
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Qualified Audiologist
- Education
- Other, 2002
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
564 Peachtree Pkwy
Suite 106
Cumming, GA 30041-7401
Phone (470) 331-6511
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Education
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Greater Atlanta Hearing P C | Audiologist | Current | Accepting new patients |
Locations
564 Peachtree Pkwy
Ste 106
Cumming, GA 30041
Phone (470) 331-6511
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.
-
- Audiologist
- Cumming, GA
- NPI 1720631047
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557964800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1647388800000",
"number": "1104482983",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "564 PEACHTREE PKWY STE 106",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417401",
"telephone_number": "678-771-8857",
"fax_number": "678-771-8862"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "564 PEACHTREE PKWY STE 106",
"city": "CUMMING",
"state": "GA",
"postal_code": "300417401",
"telephone_number": "678-771-8857",
"fax_number": "678-771-8862"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "BRIAN",
"middle_name": "KENNETH",
"name_prefix": "Mr.",
"credential": "M.ED",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2019-05-16",
"last_updated": "2022-03-16",
"certification_date": "2022-03-16",
"status": "A"
},
"taxonomies": [
{
"code": "237600000X",
"taxonomy_group": "",
"desc": "Audiologist-Hearing Aid Fitter",
"state": "GA",
"license": "AUD003658",
"primary": false
},
{
"code": "231H00000X",
"taxonomy_group": "",
"desc": "Audiologist",
"state": "GA",
"license": "AUD003658",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cumming, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- 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.