Individual provider Active NPI

Linda Jones, MD

  • Emergency Medicine Physician
  • Bainbridge, GA
National Provider Identifier
1255385126
Registry record updated Sep 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
030111 Issued in GA
Practice address
1500 E. Shotwell St.
Memorial Hospital & Manor
Bainbridge, GA 39819
Phone
(229) 243-6200
Fax
(229) 243-3317
NPI assigned
May 22, 2006
Last updated
Sep 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 13, 2017

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X 030111 GA Primary
Emergency Medicine Physician 207P00000X MD36814 TN

Addresses

Primary practice location

1500 E. Shotwell St.
Memorial Hospital & Manor
Bainbridge, GA 39819

Mailing address

1500 E Shotwell St
Bainbridge, GA 39819-4256
Phone (229) 246-3500

Other identifiers 3

IdentifierTypeStateIssuer
00359983DMedicaidGA
030111OtherGAMEDICAL LICENSE
4064531OtherTNBLUE CROSS

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040628000844 GA Practitioner - Emergency MedicinePractitioner - Internal Medicine 2163408303 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency MedicineAlso: Internal Medicine
Education
Mercer University School of Medicine, 1986
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Donalsonville Hospital IncGroup PAC ID 7113919820, 63 clinicians

Practice addresses (Care Compare)

102 Hospital Cir
Donalsonville, GA 39845-1100
Phone 2295245217218

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MD36814TNMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Southland Consolidated Emergency Services, LLC Emergency Medicine CurrentSince Oct 1, 2019 Accepting new patients
Donalsonville Hospital Inc CurrentSince Dec 1, 2012 Accepting new patients
Sterling Emergency Services of the Midwest, Inc Emergency Medicine Past Accepting new patients

Locations

1500 E Shotwell St
Bainbridge, GA 39819
Phone (229) 243-6100

102 Hospital Cir
Donalsonville, GA 39845

4 Medical Dr
Elberton, GA 30635
Phone (706) 213-2527

Organizations & group practices 4

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.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1148256000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1505260800000",
    "number": "1255385126",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 E SHOTWELL ST",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "398194256",
            "telephone_number": "229-246-3500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 E. SHOTWELL ST.",
            "address_2": "MEMORIAL HOSPITAL & MANOR",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "39819",
            "telephone_number": "229-243-6200",
            "fax_number": "229-243-3317"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "LINDA",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-22",
        "last_updated": "2017-09-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "030111",
            "primary": true
        },
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "TN",
            "license": "MD36814",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00359983D",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAL LICENSE",
            "identifier": "030111",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS",
            "identifier": "4064531",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bainbridge, GA

Sources for this page

Verify at the official NPI Registry.