Individual provider Active NPI

Lisa Nicole Jones, FNP-C

  • Nurse Practitioner
  • Watkinsville, GA
National Provider Identifier
1225644974
Registry record updated Apr 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse PractitionerTaxonomy code 363L00000X
License
RN282279 Issued in GA
Practice address
1357 Oconee Connector BLDG 100
Watkinsville, GA 30677-7312
Phone
(706) 995-6748
NPI assigned
Sep 18, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN282279 GA Primary

Addresses

Primary practice location

1357 Oconee Connector BLDG 100
Watkinsville, GA 30677-7312

Mailing address

1551 Janmar Rd
Snellville, GA 30078-5606
Phone (470) 579-5600

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200924003220 GA Practitioner - Nurse Practitioner 9436578481 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2009
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Advanced Gynecology PCGroup PAC ID 0143568634, 11 clinicians

Practice addresses (Care Compare)

1357 Oconee Connector
Watkinsville, GA 30677-7311
Phone (678) 344-8900

Merit-based Incentive Payment System (MIPS)

Final score
70.85 of 100Reported as group
Quality
47.2
Promoting interoperability
100
Improvement activities
40
Cost
55.62

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN282279GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Advanced Gynecology PC CurrentSince Sep 28, 2020 Accepting new patients
Advanced Gynecology PC CurrentSince Sep 28, 2020 Accepting new patients

Locations

1800 Peachtree St NW
Ste 700
Atlanta, GA 30309
Phone (404) 350-7966

11660 Alpharetta Hwy
Ste 730
Roswell, GA 30076
Phone 6783448900156

1551 Janmar Rd
Snellville, GA 30078

1357 Oconee Connector
Bldg 100
Watkinsville, GA 30677
Phone (706) 389-9228

1357 Oconee Connector
Watkinsville, GA 30677
Phone (248) 988-3550

Interoperability endpoints

  • Direct secure messaging: lisa.jones.1@32908.direct.athenahealth.com

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": "1600387200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1714089600000",
    "number": "1225644974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1551 JANMAR RD",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300785606",
            "telephone_number": "470-579-5600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1357 OCONEE CONNECTOR BLDG 100",
            "city": "WATKINSVILLE",
            "state": "GA",
            "postal_code": "306777312",
            "telephone_number": "706-995-6748"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LISA",
        "middle_name": "NICOLE",
        "credential": "FNP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-09-18",
        "last_updated": "2024-04-26",
        "certification_date": "2024-04-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN282279",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watkinsville, GA

Sources for this page

Verify at the official NPI Registry.