Individual provider Active NPI

Constance Joy Jones, DPT

  • Physical Therapist
  • Conyers, GA
National Provider Identifier
1144651340
Registry record updated Jan 28, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT011304 Issued in GA
Practice address
2395 Wall St SE Ste 176
Conyers, GA 30013-6703
Phone
(770) 679-1553
Fax
(866) 666-4344
NPI assigned
Dec 12, 2013
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 28, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT011304 GA Primary

Addresses

Primary practice location

2395 Wall St SE Ste 176
Conyers, GA 30013-6703

Mailing address

105 Regency Park Dr
McDonough, GA 30253-6649
Phone (770) 305-7555

Other practice location 1

105 Regency Park Dr
McDonough, GA 30253-6649
Phone (770) 305-7555

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20201015000695 GA Practitioner - Physical Therapist in Private Practice 3173943099 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Resurgens, LLC CurrentSince Feb 1, 2022 Accepting new patients
Resurgens, LLC CurrentSince Feb 1, 2022 Accepting new patients
Developmental & Rehabilitative Services 2, Inc Physical Therapist Past Accepting new patients

Locations

2041 Mesa Valley Way
Ste 100
Austell, GA 30106
Phone (770) 944-1100

105 Regency Park Dr
McDonough, GA 30253
Phone (770) 506-4119

5671 Ptree Dunwoody Rd NE
Ste 900
Sandy Springs, GA 30342
Phone (404) 531-8590

5671 Ptree Dunwoody Rd NE
Ste 700
Sandy Springs, GA 30342
Phone (404) 459-3732

Interoperability endpoints

  • Direct secure messaging: constance.jones.1@15749.direct.athenahealth.com

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1386806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1548633600000",
    "number": "1144651340",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "105 REGENCY PARK DR",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302536649",
            "telephone_number": "770-305-7555",
            "fax_number": "770-914-4178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2395 WALL ST SE STE 176",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300136703",
            "telephone_number": "770-679-1553",
            "fax_number": "866-666-4344"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "105 Regency Park Dr",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302536649",
            "country_code": "US",
            "telephone_number": "770-305-7555",
            "fax_number": "770-914-4178",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "CONSTANCE",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-12-12",
        "last_updated": "2019-01-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011304",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 28, 2019; 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.