Individual provider Active NPI

Herbert Chapman Jones, M.D.

  • Otolaryngology Physician
  • Atlanta, GA
National Provider Identifier
1164510681
Registry record updated May 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
38263 Issued in GA
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

Updated by the provider on May 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
581158044OtherGATAX ID
000612114AMedicaidGA

Other names 1

  • Mr. H. Chapman Jones Professional name

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
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

LicenseStateTypeSpecialty
38263GAMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southeast Regional Primary Care Corporation Current Accepting new patients
Upson Surgical Associates, LLC CurrentSince Sep 16, 2019 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

  • Direct secure messaging: 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.

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

Verify at the official NPI Registry.