Individual provider Active NPI

Iris Yvonne Jones, NURSE AID

  • Phlebotomy Technician
  • Snellville, GA
National Provider Identifier
1255879375
Registry record updated Feb 9, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Phlebotomy TechnicianTaxonomy code 246RP1900X
License
X3P5J6E2 Issued in GA
Practice address
2585 Creek Cir
Snellville, GA 30078-6803
Phone
(704) 345-2781
NPI assigned
Feb 9, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 9, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Phlebotomy Technician 246RP1900X X3P5J6E2 GA Primary
Other Technician 247200000X X3P5J6E2 GA
Nurse's Aide 376K00000X CN0030015656 GA

Addresses

Primary practice location

2585 Creek Cir
Snellville, GA 30078-6803

Mailing address

2585 Creek Cir
Snellville, GA 30078-6803
Phone (704) 345-2781

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
X3P5J6E2GAMDOther Technician
CN0030015656GAMDNurse's Aide

NPI Registry JSON

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

{
    "created_epoch": "1486598400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1486598400000",
    "number": "1255879375",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2585 CREEK CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786803",
            "telephone_number": "704-345-2781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2585 CREEK CIR",
            "city": "SNELLVILLE",
            "state": "GA",
            "postal_code": "300786803",
            "telephone_number": "704-345-2781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "IRIS",
        "middle_name": "YVONNE",
        "name_prefix": "Ms.",
        "credential": "NURSE AID",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-02-09",
        "last_updated": "2017-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246RP1900X",
            "taxonomy_group": "",
            "desc": "Technician, Pathology, Phlebotomy",
            "state": "GA",
            "license": "X3P5J6E2",
            "primary": true
        },
        {
            "code": "247200000X",
            "taxonomy_group": "",
            "desc": "Technician, Other",
            "state": "GA",
            "license": "X3P5J6E2",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "GA",
            "license": "CN0030015656",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Snellville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.