Individual provider Active NPI

James Donald Vinson Jr., M.D.

  • Anesthesiology Physician
  • Conyers, GA
National Provider Identifier
1235100082
Registry record updated Aug 16, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Anesthesiology PhysicianTaxonomy code 207L00000X
License
035348 Issued in GA
Practice address
1388B Wellbrook Cir NE
Conyers, GA 30012-3872
Phone
(770) 388-7745
Fax
(770) 922-0526
NPI assigned
Jan 30, 2006
Last updated
Aug 16, 2016By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 16, 2016

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Anesthesiology Physician 207L00000X 035348 GA Primary

Addresses

Primary practice location

1388B Wellbrook Cir NE
Conyers, GA 30012-3872

Mailing address

1388B Wellbrook Cir NE
Conyers, GA 30012-3872
Phone (770) 388-7745

Other identifiers 1

IdentifierTypeStateIssuer
000495723AMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, FL, IN, MA, NC5 enrollments
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 5

Enrollment IDStateProvider typePAC IDDetails
I20081022000608 GA Practitioner - Anesthesiology 0042112617 Reassigns benefits to 8 organizations
I20170302001210 FL Practitioner - Anesthesiology 0042112617 Reassigns benefits to 6 organizations
I20200828002574 IN Practitioner - Anesthesiology 0042112617 Reassigns benefits to 3 organizations
I20210202003267 MA Practitioner - Anesthesiology 0042112617 Reassigns benefits to 1 organization
I20250205002829 NC Practitioner - Anesthesiology 0042112617 Reassigns benefits to 5 organizations

Care Compare profile

Medicare Care Compare
Specialty
Anesthesiology
Education
Medical College of Georgia School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northern Indiana Anesthesia Associates, LLCGroup PAC ID 6709234750, 10 clinicians
SG Anesthesia LLCGroup PAC ID 3072757079, 9 clinicians

Practice addresses (Care Compare)

53830 Generations Dr
South Bend, IN 46635-1557
Phone (574) 217-0174

763 Old Norcross Rd
Lawrenceville, GA 30046-4317
Phone (800) 208-6014

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
035348GAMDAnesthesiology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Lanier Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Northern Indiana Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
SG Anesthesia LLC Anesthesiology CurrentSince May 1, 2024 Accepting new patients
Anesthesia Dynamics LLC Anesthesiology CurrentSince Dec 2, 2019 Accepting new patients
Anesthesia Care Associates, LLC Anesthesiology CurrentSince Feb 28, 2022 Accepting new patients
Osceola Gastroenterology Anesthesia Associates LLC Anesthesiology CurrentSince Jul 1, 2017 Accepting new patients
CRH Anesthesia of Florida LLC Anesthesiology CurrentSince Jan 1, 2026 Accepting new patients
Gi Anesthesia of Georgia LLC Anesthesiology CurrentSince Jul 17, 2017 Accepting new patients
Western Carolina Sedation Associates, LLC Anesthesiology CurrentSince Jul 5, 2025 Accepting new patients
Rsa Johnston LLC Anesthesiology CurrentSince Nov 1, 2024 Accepting new patients
Triad Sedation Associates, LLC Anesthesiology CurrentSince Oct 10, 2024 Accepting new patients
South Metro Anesthesia Associates, LLC Anesthesiology CurrentSince Apr 26, 2022 Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Anesthesiology CurrentSince Mar 14, 2024 Accepting new patients
Metro Orlando Anesthesia Associates, LLC Anesthesiology CurrentSince May 25, 2023 Accepting new patients
Greater Charlotte Support Services, PLLC Anesthesiology CurrentSince Dec 12, 2025 Accepting new patients
Raleigh Sedation Associates LLC Anesthesiology CurrentSince Oct 10, 2024 Accepting new patients
Gbaa Holdings, PLLC Anesthesiology CurrentSince Jan 1, 2021 Accepting new patients
Macon Gastroenterology Anesthesia Associates LLC Anesthesiology CurrentSince Jan 1, 2017 Accepting new patients
Gastroenterology Anesthesia Associates, LLC Anesthesiology CurrentSince Aug 22, 2016 Accepting new patients
West Florida Anesthesia Associates LLC Anesthesiology CurrentSince Feb 4, 2018 Accepting new patients
Florida Panhandle Anesthesia Associates, LLC Anesthesiology CurrentSince May 29, 2022 Accepting new patients
Oconee River Anesthesia Associates, LLC Anesthesiology CurrentSince Oct 1, 2023 Accepting new patients
Johnston Health Endoscopy Services, LLC Past Accepting new patients
Affiliated Tampa Anesthesia Associates, LLC Anesthesiology PastSince Apr 6, 2023 Accepting new patients

Locations (25 of 58)

3220 N St NW
Washington, DC 20007
Phone (202) 338-6051

625 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 574-3323

665 Del Prado Blvd S
Cape Coral, FL 33990
Phone (239) 772-3636

6412 W Gulf To Lake Hwy
Crystal River, FL 34429
Phone (352) 563-0023

63 Barkley Cir
Ste 103
Fort Myers, FL 33907
Phone (239) 275-8882

63 Barkley Cir
Ste 104
Fort Myers, FL 33907
Phone (239) 275-8452

715 Oak Commons Blvd
Kissimmee, FL 34741
Phone (407) 910-3071

8330 Lakewood Ranch Blvd
Lakewood Ranch, FL 34202
Phone (941) 666-8757

4901 Vineland Rd
Ste 150
Orlando, FL 32811
Phone (407) 370-3272

204B E 19th St
Panama City, FL 32405
Phone (850) 769-7599

14547 Bruce B Downs Blvd
Tampa, FL 33613
Phone (800) 242-5080

340 N Milledge Ave
Ste A
Athens, GA 30601
Phone (706) 548-0008

550 Peachtree St NE
Ste 1600
Atlanta, GA 30308
Phone (404) 881-1094

550 Peachtree St NE
Ste 1660
Atlanta, GA 30308
Phone (404) 253-6820

1515 River Pl
Ste 320
Braselton, GA 30517
Phone (678) 997-2125

2675 N Decatur Rd
Ste 506
Decatur, GA 30033
Phone (404) 299-1679

8855 Hospital Dr
Ste 102
Douglasville, GA 30134
Phone (678) 784-5020

1955 Textile Way
Gainesville, GA 30501
Phone (678) 987-1499

2324 Limestone Overlook
Ste 200
Gainesville, GA 30501
Phone (312) 724-7441

226 E College St
#A
Griffin, GA 30224
Phone (678) 987-1490

763 Old Norcross Rd
Lawrenceville, GA 30046
Phone (678) 985-1994

4865 Bill Gardner Pkwy
Locust Grove, GA 30248
Phone (770) 692-0100

610 3rd St
Ste 100
Macon, GA 31201
Phone (478) 745-8205

610 3rd St
Ste 102
Macon, GA 31201
Phone (478) 202-8691

488 Kennesaw Ave NW
Ste 100
Marietta, GA 30060
Phone (770) 427-3075

Organizations & group practices 24

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.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1138579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1471305600000",
    "number": "1235100082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1388B WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0526"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1388B WELLBROOK CIR NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300123872",
            "telephone_number": "770-388-7745",
            "fax_number": "770-922-0526"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VINSON",
        "first_name": "JAMES",
        "middle_name": "DONALD",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-01-30",
        "last_updated": "2016-08-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207L00000X",
            "taxonomy_group": "",
            "desc": "Anesthesiology",
            "state": "GA",
            "license": "035348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000495723A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

Verify at the official NPI Registry.