Active NPI
Jennifer L Jones, M.D.
- Dermatology Physician
- Marietta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Dermatology Physician
- License
- 59437
- Practice address
- 835 Cogburn Avenue
Suite 100
Marietta, GA 30060-1008 - Phone
- (770) 422-5557
- Fax
- (770) 422-5458
- NPI assigned
- May 2, 2006
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
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.
-
- Clinical Medical Laboratory
- Marietta, GA
- NPI 1083044465
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Dermatology
- Education
- Medical College of Georgia School of Medicine, 1999
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Aqua Dermatology of Georgia PC
Practice addresses (Care Compare)
835 Cogburn Ave NW
Suite 100
Marietta, GA 30060-1008
Phone (770) 422-5557
Hospital & facility affiliations
- Northside Hospital Cherokee
Merit-based Incentive Payment System (MIPS)
- Final score
- 100 of 100
- Promoting interoperability
- 100
- Improvement activities
- 40
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 714 |
| Removal or shaving of skin growth | 13 |
| Skin biopsy | 329 |
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20071129000676 | GA | Practitioner - Dermatology | 7911978556 | Reassigns benefits to 1 organization |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 59437 | GA | MD | Dermatology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aqua Dermatology of Georgia PC | Dermatology | Current | Accepting new patients |
| Dermatopathology Lab of Skin Cancer Specialists, P.C. | Current | Accepting new patients | |
| Paulding Dermatology | Dermatology | Past | Accepting new patients |
Locations
10 Cloverleaf Dr
Cartersville, GA 30120
Phone (770) 386-1261
1150 Brookstone Centre Pkwy
Columbus, GA 31904
Phone (706) 257-4189
850 Charles Hardy Pkwy
Dallas, GA 30157
Phone (770) 336-8888
835 Cogburn Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 422-5557
835 Cogburn Ave NW
Ste 250
Marietta, GA 30060
Phone (770) 422-8815
835 Cogburn Ave NW
Marietta, GA 30060
Phone (770) 422-8815
2045 Highway 34 E
Newnan, GA 30265
Phone (770) 502-0202
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dermatology Physician | 207N00000X | 59437 | GA | Primary |
Addresses
Primary practice location
835 Cogburn Avenue
Suite 100
Marietta, GA 30060-1008
Mailing address
835 Cogburn Avenue
Suite 250
Marietta, GA 30060-1010
Phone (770) 422-8815
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | jjones@directaddress.net |
NPI Registry JSON
{
"created_epoch": "1146528000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1592179200000",
"number": "1114985108",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "835 COGBURN AVENUE",
"address_2": "SUITE 250",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601010",
"telephone_number": "770-422-8815",
"fax_number": "770-422-8818"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "835 COGBURN AVENUE",
"address_2": "SUITE 100",
"city": "MARIETTA",
"state": "GA",
"postal_code": "300601008",
"telephone_number": "770-422-5557",
"fax_number": "770-422-5458"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JENNIFER",
"middle_name": "L",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-05-02",
"last_updated": "2020-06-15",
"certification_date": "2020-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "207N00000X",
"taxonomy_group": "",
"desc": "Dermatology",
"state": "GA",
"license": "59437",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "jjones@directaddress.net",
"affiliation": "N",
"address_1": "835 Cogburn Avenue",
"address_2": "Suite 100",
"city": "Marietta",
"state": "GA",
"country_code": "US",
"postal_code": "300601008",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Marietta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2020; 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.
- 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.