Individual provider Active NPI

Sarah W. Jones, PH.D.

  • Clinical Psychologist
  • Atlanta, GA
National Provider Identifier
1225067671
Registry record updated Mar 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical PsychologistTaxonomy code 103TC0700X
License
1733 Issued in GA
Practice address
2300 Henderson Mill Rd NE
Ste.308
Atlanta, GA 30345-2745
Phone
(770) 938-0303
Fax
(770) 939-3927
NPI assigned
Jun 30, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 14, 2011

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Neuropsychologist 103G00000X 1733 GA
Clinical Psychologist 103TC0700X 1733 GA Primary

Addresses

Primary practice location

2300 Henderson Mill Rd NE
Ste.308
Atlanta, GA 30345-2745

Mailing address

2300 Henderson Mill Rd NE
Ste.308
Atlanta, GA 30345-2704
Phone (770) 938-0303

Other identifiers 1

IdentifierTypeStateIssuer
000706527BMedicaidGA

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: No
  • Power mobility devices: No
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20050311000553 GA Practitioner - Clinical Psychologist 5395799555 Practice locations: Norcross, GA

Care Compare profile

Medicare Care Compare
Specialty
Clinical Psychologist
Education
Other, 1992
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

5572 Williamsburg
Norcross, GA 30093-4125

5572 Williamsburg Dr
Norcross, GA 30093-4125
Phone (770) 314-5062

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
1733GAMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1300060800000",
    "number": "1225067671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE",
            "address_2": "STE.308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452704",
            "telephone_number": "770-938-0303",
            "fax_number": "770-939-3927"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2300 HENDERSON MILL RD NE",
            "address_2": "STE.308",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303452745",
            "telephone_number": "770-938-0303",
            "fax_number": "770-939-3927"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "SARAH",
        "middle_name": "W.",
        "credential": "PH.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-30",
        "last_updated": "2011-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "103G00000X",
            "taxonomy_group": "",
            "desc": "Clinical Neuropsychologist",
            "state": "GA",
            "license": "1733",
            "primary": false
        },
        {
            "code": "103TC0700X",
            "taxonomy_group": "",
            "desc": "Psychologist, Clinical",
            "state": "GA",
            "license": "1733",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000706527B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

Verify at the official NPI Registry.