Active NPI
Linda Jones, MD
- Emergency Medicine Physician
- Bainbridge, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Emergency Medicine Physician
- License
- 030111
- 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, 2017
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00359983D | Medicaid | GA | |
| 030111 | Other | GA | MEDICAL LICENSE |
| 4064531 | Other | TN | BLUE 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
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Emergency Medicine
- Education
- Mercer University School of Medicine, 1986
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
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
| License | State | Type | Specialty |
|---|---|---|---|
| MD36814 | TN | MD | Emergency Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Southland Consolidated Emergency Services, LLC | Emergency Medicine | Current | Accepting new patients |
| Donalsonville Hospital Inc | Current | 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.
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
-
- Emergency Medicine Physician
- Elberton, GA
- NPI 1174917124
-
- Hospitalist Physician
- Bainbridge, GA
- NPI 1356735336
-
dba Ellington Emergency Department Services
- Emergency Medicine Physician
- Lewisburg, TN
- NPI 1700844297
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Rural Acute Care Hospital
- Donalsonville, GA
- NPI 1720095805
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
- John D. Archbold Memorial Hospital, Inc. (Archbold - Bainbridge Specialty Clinic)
- John D. Archbold Memorial Hospital, Inc. (Archbold - Bainbridge Specialty Clinic II)
- Johnson's Personal Care Home, Inc.
- Brett Jones, PHARMD
- Carnel Renea Jones, LPC
- Sydney Jordan
- K and K Living, LLC
- Jordan Rae Kay, M.ED. CCC-SLP
- Charsuede Keaton
- Kathryn Harrell Kelley, SLP
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 13, 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.