Active NPI
Jeffry Joseph Bizon, MD
- Obstetrics & Gynecology Physician
- Gainesville, GA
National Provider Identifier
1255310447
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 043169
- Practice address
- 725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834 - Phone
- (770) 297-2200
- Fax
- (770) 534-8139
- NPI assigned
- Jan 16, 2006
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 043169 | GA | Primary |
Addresses
Primary practice location
725 Jesse Jewell Pkwy SE
Gainesville, GA 30501-3834
Mailing address
PO Box 658
Gainesville, GA 30503-0658
Phone (770) 718-1122
Other practice location 1
23 Tipton Dr
Dahlonega, GA 30533-1603
Phone (706) 864-0334
Other practice location 2
141 Professional Dr
Baldwin, GA 30511-4000
Phone (706) 776-7470
Other practice location 3
1270 Friendship Rd
Braselton, GA 30517-5630
Phone (678) 207-4300
Other identifiers 10
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10045204 | Other | GA | AMERIGROUP |
| 000747282F | Medicaid | GA | |
| 329152 | Other | GA | WELLCARE |
| 160054841 | Other | GA | RR MEDICARE-GRP # CC4177 |
| 000747282E | Medicaid | GA | |
| 000747282G | Medicaid | GA | |
| 0700385 | Other | GA | UNITED HEALTHCARE |
| 1894227 | Other | GA | CIGNA |
| 52596823 | Other | GA | BCBS |
| 5079605 | Other | GA | AETNA |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
Interoperability endpoints
- jeff.bizon@longstreetclinic.gadirect.net
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1137369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1551225600000",
"number": "1255310447",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 658",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305030658",
"telephone_number": "770-718-1122",
"fax_number": "770-535-7445"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "725 JESSE JEWELL PKWY SE",
"city": "GAINESVILLE",
"state": "GA",
"postal_code": "305013834",
"telephone_number": "770-297-2200",
"fax_number": "770-534-8139"
}
],
"practiceLocations": [
{
"address_1": "23 Tipton Dr",
"address_purpose": "LOCATION",
"city": "Dahlonega",
"state": "GA",
"postal_code": "305331603",
"country_code": "US",
"telephone_number": "706-864-0334",
"fax_number": "706-864-2245",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "141 Professional Dr",
"address_purpose": "LOCATION",
"city": "Baldwin",
"state": "GA",
"postal_code": "305114000",
"country_code": "US",
"telephone_number": "706-776-7470",
"fax_number": "706-776-7472",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "1270 Friendship Rd",
"address_purpose": "LOCATION",
"city": "Braselton",
"state": "GA",
"postal_code": "305175630",
"country_code": "US",
"telephone_number": "678-207-4300",
"fax_number": "770-533-4773",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "BIZON",
"first_name": "JEFFRY",
"middle_name": "JOSEPH",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-01-16",
"last_updated": "2019-02-27",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "043169",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10045204",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000747282F",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "329152",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE-GRP # CC4177",
"identifier": "160054841",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000747282E",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000747282G",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "UNITED HEALTHCARE",
"identifier": "0700385",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CIGNA",
"identifier": "1894227",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "52596823",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "5079605",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Gainesville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.