Individual provider Active NPI

Johnny Jones III, M.D.

  • Gastroenterology Physician
  • Locust Grove, GA
National Provider Identifier
1235397308
Registry record updated May 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
E-7117 Issued in AR
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.

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 MedicineAlso: Gastroenterology
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 28 clinicians

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 Hospital, Little Rock, AR, CCN 040114

Merit-based Incentive Payment System (MIPS)

Final score
54.59 of 100Reported as group
Quality
80.85
Promoting interoperability
0
Improvement activities
20
Cost
76.1

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy96
Upper gastrointestinal (GI) endoscopy for acid reflux102

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150604000246 AR Practitioner - Internal MedicinePractitioner - Gastroenterology 1850612771 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
E-7117ARMDGastroenterology Physician
075438GAMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Premier Gastroenterology Associates PLLC Gastroenterology CurrentSince Dec 22, 2020 Accepting new patients
Premier Gastroenterology Associates PLLC Gastroenterology CurrentSince Dec 22, 2020 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

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.140.73349

NPPES NPI Registry

Updated by the provider on May 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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

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

{
    "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

Verify at the official NPI Registry.