Individual provider Active NPI

Jeffrey Craig Stone, MD

  • Family Medicine Physician
  • Canton, GA
National Provider Identifier
1154410538
Registry record updated Aug 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
062611 Issued in GA
Practice address
1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266
Phone
(678) 341-6360
Fax
(678) 626-7900
NPI assigned
Oct 12, 2006
Last updated
Aug 26, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 062611 GA Primary

Addresses

Primary practice location

1495 Hickory Flat Hwy Ste 100
Canton, GA 30115-4266

Mailing address

213 Windy Ridge LN
Canton, GA 30114-4442

Other practice location 1

4550 Cobb Parkway North NW Ste 201A
Acworth, GA 30101
Phone (770) 974-4655

Other practice location 2

4900 Ivey Rd NW
Suite 1301
Acworth, GA 30101-4001
Phone (770) 974-4555

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address jstone23009@directwellstar.org

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20091228000054 GA Practitioner - Family Practice 7012010655 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Other, 1982
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Southeast Medical Group, P.C.Group PAC ID 3577559673, 139 clinicians

Practice addresses (Care Compare)

1495 Hickory Flat Hwy
Suite 100
Canton, GA 30115-4266
Phone (770) 441-1911

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
164682NYMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Medical Group, P.C. Family Medicine CurrentSince Aug 1, 2022 Accepting new patients
Physician First Health Network PastSince Jun 3, 2025 Accepting new patients
Wellstar Acworth Family Practice, LLC Family Medicine Past Accepting new patients
Community Care Physicians, PLLC Family Medicine Past Accepting new patients

Locations

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

1495 Hickory Flat Hwy
Ste 100
Canton, GA 30115
Phone (678) 341-6360

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA

Organizations & group practices 4

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.

Hospital & facility affiliations 3

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1787702400000",
    "number": "1154410538",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 WINDY RIDGE LN",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301144442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1495 HICKORY FLAT HWY STE 100",
            "city": "CANTON",
            "state": "GA",
            "postal_code": "301154266",
            "telephone_number": "678-341-6360",
            "fax_number": "678-626-7900"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4550 Cobb Parkway North NW Ste 201A",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "30101",
            "country_code": "US",
            "telephone_number": "770-974-4655",
            "fax_number": "770-974-1970",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4900 Ivey Rd NW",
            "address_2": "Suite 1301",
            "address_purpose": "LOCATION",
            "city": "Acworth",
            "state": "GA",
            "postal_code": "301014001",
            "country_code": "US",
            "telephone_number": "770-974-4555",
            "fax_number": "770-974-7534",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "STONE",
        "first_name": "JEFFREY",
        "middle_name": "CRAIG",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-12",
        "last_updated": "2026-08-26",
        "certification_date": "2026-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "062611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "jstone23009@directwellstar.org",
            "affiliation": "N",
            "address_1": "4550 Cobb Parkway North NW Ste 201A",
            "city": "Acworth",
            "state": "GA",
            "country_code": "US",
            "postal_code": "301014182",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Canton, GA

Sources for this page

Verify at the official NPI Registry.