Active NPI
Djifa Richards Jones, PA C
- Medical Physician Assistant
- Stone Mountain, GA
National Provider Identifier
1134328990
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Medical Physician Assistant
- License
- 004547
- Practice address
- 2240 W Park Place Blvd
Ste a
Stone Mountain, GA 30087-3543 - Phone
- (678) 722-8464
- NPI assigned
- Jul 12, 2007
- 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 |
|---|---|---|---|---|
| Medical Physician Assistant | 363AM0700X | 004547 | GA | Primary |
| Doula | 374J00000X |
Addresses
Primary practice location
2240 W Park Place Blvd
Ste a
Stone Mountain, GA 30087-3543
Mailing address
2240 W Park Place Blvd
Ste a
Stone Mountain, GA 30087-3543
Phone (678) 722-8464
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
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 004547 | GA | MD | Medical Physician Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1184198400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1329177600000",
"number": "1134328990",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2240 W PARK PLACE BLVD",
"address_2": "STE A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873543",
"telephone_number": "678-722-8464"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2240 W PARK PLACE BLVD",
"address_2": "STE A",
"city": "STONE MOUNTAIN",
"state": "GA",
"postal_code": "300873543",
"telephone_number": "678-722-8464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RICHARDS JONES",
"first_name": "DJIFA",
"name_prefix": "Mrs.",
"credential": "PA C",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-12",
"last_updated": "2012-02-14",
"status": "A"
},
"taxonomies": [
{
"code": "363AM0700X",
"taxonomy_group": "",
"desc": "Physician Assistant, Medical",
"state": "GA",
"license": "004547",
"primary": true
},
{
"code": "374J00000X",
"taxonomy_group": "",
"desc": "Doula",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Stone Mountain, GA
- Dadreil Chiante Rhodes, PCT
- Lolita Michelle Rhone, PH.D.
- Richard Senior Care Services LLC (Missing Pieces Telehealth Psych LLC)
- Kwizera Richard
- Marjorie Richard, MSN
- Right Choice Home Care
- Rimavision, Inc (Dba, Rimavision Eye Center (Rimavision Eye Center)
- Bridgette Natacha Rimpel
- Rising Star Personal Care Home LLC (Rising Star Personal Care Home)
- Christopher Pierree Robbins
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.