Active NPI
Herbert Chapman Jones, M.D.
- Otolaryngology Physician
- Atlanta, GA
National Provider Identifier
1164510681
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 38263
- Practice address
- 2600 Martin Luther King Jr Dr SW
Suite 204
Atlanta, GA 30311-1636 - Phone
- (404) 691-7460
- Fax
- (404) 691-7479
- NPI assigned
- Oct 10, 2006
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Otolaryngology Physician | 207Y00000X | 38263 | GA | Primary |
Addresses
Primary practice location
2600 Martin Luther King Jr Dr SW
Suite 204
Atlanta, GA 30311-1636
Mailing address
2600 Martin Luther King Jr Dr SW
Suite 204
Atlanta, GA 30311-1636
Phone (404) 691-7460
Other practice location 1
1707 Meadows Ln Ste C
Vidalia, GA 30474-7201
Phone (912) 537-3384
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 581158044 | Other | GA | TAX ID |
| 000612114A | Medicaid | GA |
Other names 1
- Mr. H. Chapman Jones
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 |
|---|---|---|---|---|
| I20101104000510 | GA | Practitioner - Otolaryngology | 5597861344 | 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 |
|---|---|---|---|
| 38263 | GA | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southeast Regional Primary Care Corporation | Current | Accepting new patients | |
| Upson Surgical Associates, LLC | Current | Accepting new patients |
Locations
100 Highway 18 W
Ste 206
Barnesville, GA 30204
Phone (770) 358-1860
612 W Gordon St
Ste B
Thomaston, GA 30286
Phone (706) 647-9433
Interoperability endpoints
- herbert.jones@srpcc.gadirect.net
Organizations & group practices 2
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.
-
- Multi-Specialty Clinic/Center
- Vidalia, GA
- NPI 1467568907
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160438400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1620000000000",
"number": "1164510681",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2600 MARTIN LUTHER KING JR DR SW",
"address_2": "SUITE 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303111636",
"telephone_number": "404-691-7460",
"fax_number": "404-691-7479"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2600 MARTIN LUTHER KING JR DR SW",
"address_2": "SUITE 204",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303111636",
"telephone_number": "404-691-7460",
"fax_number": "404-691-7479"
}
],
"practiceLocations": [
{
"address_1": "1707 Meadows Ln Ste C",
"address_purpose": "LOCATION",
"city": "Vidalia",
"state": "GA",
"postal_code": "304747201",
"country_code": "US",
"telephone_number": "912-537-3384",
"fax_number": "912-537-3351",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "HERBERT",
"middle_name": "CHAPMAN",
"name_prefix": "Mr.",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-10-10",
"last_updated": "2021-05-03",
"certification_date": "2021-05-03",
"status": "A"
},
"taxonomies": [
{
"code": "207Y00000X",
"taxonomy_group": "",
"desc": "Otolaryngology",
"state": "GA",
"license": "38263",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "581158044",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000612114A",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "H.",
"last_name": "JONES",
"middle_name": "CHAPMAN",
"prefix": "MR.",
"credential": "M.D.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2021; 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.