Active NPI
Johnny Jones III, M.D.
- Gastroenterology Physician
- Locust Grove, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Gastroenterology Physician
- License
- E-7117
- Practice address
- 4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644 - Phone
- (770) 692-0100
- NPI assigned
- May 27, 2008
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 5
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.
-
- Gastroenterology Physician
- Little Rock, AR
- NPI 1538663729
AR, Gastroenterology
-
- Ambulatory Surgical Clinic/Center
- Little Rock, AR
- NPI 1073079596
Gastroenterology
-
- Endoscopy Clinic/Center
- Decatur, GA
- NPI 1023252954
-
- Specialist
- Little Rock, AR
- NPI 1003259490
-
- Surgery Physician
- Conway, AR
- NPI 1306072269
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
Care Compare profile
Medicare Care Compare- Specialty
- Internal Medicine
- Education
- University of Arkansas College of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
- Premier Gastroenterology Associates PLLC
Practice addresses (Care Compare)
10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4114
Phone (501) 747-2828
10915 N Rodney Parham Rd
Suite B
Little Rock, AR 72212-4202
Hospital & facility affiliations
- Baptist Health Medical Center-Little Rock
Merit-based Incentive Payment System (MIPS)
- Final score
- 54.59 of 100
- Quality
- 80.85
- Promoting interoperability
- 0
- Improvement activities
- 20
- Cost
- 76.1
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Colonoscopy | 96 |
| Upper gastrointestinal (GI) endoscopy for acid reflux | 102 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
- 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 |
|---|---|---|---|---|
| I20150604000246 | AR | Practitioner - Internal Medicine | 1850612771 | 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 |
|---|---|---|---|
| E-7117 | AR | MD | Gastroenterology Physician |
| 075438 | GA | MD | Gastroenterology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Premier Gastroenterology Associates PLLC | Gastroenterology | Current | Accepting new patients |
| Premier Gastroenterology Associates PLLC | Gastroenterology | Current | Accepting new patients |
| Arkansas Diagnostic Center, PA | Past | Accepting new patients | |
| William L. McColgan, III, M.D., PA | Past | Accepting new patients | |
| Decatur Endoscopy Center, LLC | Past | Accepting new patients |
Locations
10915 N Rodney Parham Rd
Ste B
Little Rock, AR 72212
Phone (501) 747-2828
Interoperability endpoints
- https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73349
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Internal Medicine Physician | 207R00000X | E-7117 | AR | |
| Gastroenterology Physician | 207RG0100X | E-7117 | AR | Primary |
| Gastroenterology Physician | 207RG0100X | 075438 | GA |
Addresses
Primary practice location
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Mailing address
4865 Bill Gardner Pkwy
Locust Grove, GA 30248-3644
Phone (770) 692-0100
NPI Registry JSON
{
"created_epoch": "1211846400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494288000000",
"number": "1235397308",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4865 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483644",
"telephone_number": "770-692-0100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4865 BILL GARDNER PKWY",
"city": "LOCUST GROVE",
"state": "GA",
"postal_code": "302483644",
"telephone_number": "770-692-0100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JOHNNY",
"name_prefix": "Dr.",
"name_suffix": "III",
"credential": "M.D.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-05-27",
"last_updated": "2017-05-09",
"status": "A"
},
"taxonomies": [
{
"code": "207R00000X",
"taxonomy_group": "",
"desc": "Internal Medicine",
"state": "AR",
"license": "E-7117",
"primary": false
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "AR",
"license": "E-7117",
"primary": true
},
{
"code": "207RG0100X",
"taxonomy_group": "",
"desc": "Internal Medicine, Gastroenterology",
"state": "GA",
"license": "075438",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Locust Grove, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2017; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.