NPIMap

Individual provider Active NPI

Jameson Andrew Estes, M.D.

  • Family Medicine Physician
  • Locust Grove, GA
National Provider Identifier
1265567796
Registry record updated May 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
048852 Issued in GA
Practice address
3334 Highway 155
Locust Grove, GA 30248-3513
Phone
(770) 228-5407
Fax
(770) 227-1430
NPI assigned
Feb 23, 2007
Last updated
May 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 16, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 048852 GA Primary

Addresses

Primary practice location

3334 Highway 155
Locust Grove, GA 30248-3513

Mailing address

5128 Heron Bay Blvd
Locust Grove, GA 30248-7008
Phone (678) 583-2111

Other identifiers 1

IdentifierTypeStateIssuer
000875025MedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100111000548 GA Practitioner - Family Practice 4688715709 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Qcpi-Villagemd PCGroup PAC ID 8123389277, 76 clinicians

Practice addresses (Care Compare)

1805 Parke Plaza Cir
Suite 101
Stone Mountain, GA 30087-3646
Phone (770) 879-0436

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
048852GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Venture Medical Associates LLC Family Medicine CurrentSince Feb 18, 2014 Accepting new patients
Jameson a Estes, MD, PC Family Medicine CurrentSince Jul 1, 2013 Accepting new patients
Shannon T. Barton MD LLC Family Medicine Current Accepting new patients
Georgia Emergency Group, LLC CurrentSince Jun 15, 2013 Accepting new patients
Hospital Authority of Randolph County Past Accepting new patients
Apollomd Group Services, LLC Past Accepting new patients
Georgian Metropolis Emergency Physicians LLC Past Accepting new patients

Locations

601 S 8th St
Griffin, GA 30224
Phone (770) 228-2721

210 College St
McDonough, GA 30253
Phone (470) 878-6401

545 Venture Ct
Monticello, GA 31064
Phone (706) 468-7002

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4
  • Direct secure messaging: jameson.estes.1@21533.direct.athenahealth.com

Organizations & group practices 8

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 7

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": "1172188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1265567796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5128 HERON BAY BLVD",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302487008",
            "telephone_number": "678-583-2111"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3334 HIGHWAY 155",
            "city": "LOCUST GROVE",
            "state": "GA",
            "postal_code": "302483513",
            "telephone_number": "770-228-5407",
            "fax_number": "770-227-1430"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESTES",
        "first_name": "JAMESON",
        "middle_name": "ANDREW",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-02-23",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "048852",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000875025",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Locust Grove, GA

Sources for this page

Verify at the official NPI Registry.