Jean Robert Ferdinand, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

64216 Issued in GA

Practice address

3334 Highway 155
Locust Grove, GA 30248-3513

Phone

(770) 305-7929

Fax

(770) 305-7969

NPI assigned

Jul 13, 2010

Last updated

May 16, 2019By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 4

Addresses

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

Specialty

Family PracticeAlso: Sports Medicine

Education

Albany Medical College of Union University, 2007

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)

Hospital & facility affiliations

• Central Home Health Care, an Amedisys Company Home health agency, Douglasville, GA, CCN 117050
• Piedmont Henry Hospital Hospital, Stockbridge, GA, CCN 110191
• Northside Hospital Hospital, Atlanta, GA, CCN 110161
• Wellstar Spalding Medical Center Hospital, Griffin, GA, CCN 110031
• Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: jean.ferdinand.1@18021.direct.athenahealth.com
• Direct secure messaging: jean.ferdinand.1@21533.direct.athenahealth.com

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.

• Qcpi-Villagemd, PC

  dba Village Medical

  • Family Medicine Physician
  • Atlanta, GA
  • NPI 1558872432
  Medicare reassignment Care Compare group
• Jameson a Estes, MD, PC

  • Family Medicine Physician
  • Monticello, GA
  • NPI 1619319027
  NPD
• Shannon T. Barton MD LLC

  • Family Medicine Physician
  • Monticello, GA
  • NPI 1811293137
  NPD
• Venture Medical Associates LLC

  • Family Medicine Physician
  • Monticello, GA
  • NPI 1407281470
  NPD
• Jacksonville Medical Professional Services LLC

  • Certified Registered Nurse Anesthetist
  • Jacksonville, AL
  • NPI 1073731774
  NPD (past)
• Jacksonville Surgical & Medical Affiliates, LLC

  • Clinic/Center
  • Jacksonville, AL
  • NPI 1104078831
  NPD (past)

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

• Amedisys Georgia, LLC

  dba Central Home Health Care, an Amedisys Company

  • Home Health Agency
  • Douglasville, GA
  • NPI 1437117090
  Care Compare affiliation
• Fayette Community Hospital, Inc.

  dba Piedmont Fayette Hospital

  • General Acute Care Hospital
  • Fayetteville, GA
  • NPI 1528027240
  Care Compare affiliation
• Northside Hospital, Inc.

  dba Northside Hospital

  • General Acute Care Hospital
  • Atlanta, GA
  • NPI 1457396079
  Care Compare affiliation
• Piedmont Henry Hospital, Inc.

  • General Acute Care Hospital
  • Stockbridge, GA
  • NPI 1225034333
  Care Compare affiliation
• Wellstar Spalding Regional Hospital, Inc

  dba WellStar Spalding Regional Hospital

  • General Acute Care Hospital
  • Griffin, GA
  • NPI 1972535318
  Care Compare affiliation

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

{
    "created_epoch": "1278979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1557964800000",
    "number": "1265744759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4303 JODECO RD",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302538297",
            "telephone_number": "770-898-7840"
        },
        {
            "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": "770-305-7929",
            "fax_number": "770-305-7969"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "210 College St",
            "address_purpose": "LOCATION",
            "city": "McDonough",
            "state": "GA",
            "postal_code": "302533300",
            "country_code": "US",
            "telephone_number": "470-878-6401",
            "fax_number": "470-878-6405",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "FERDINAND",
        "first_name": "JEAN",
        "middle_name": "ROBERT",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2010-07-13",
        "last_updated": "2019-05-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "KS",
            "license": "7553",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "AL",
            "license": "31037",
            "primary": false
        },
        {
            "code": "207QS0010X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Sports Medicine",
            "state": "GA",
            "license": "64216",
            "primary": false
        },
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "64216",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jameson Andrew Estes, M.D.
• Erica Evans, LCSW
• David Farmer, PA-C
• Linda Faulkner, NP
• Theresa Feanny
• Nateka Fielder, RRT
• Tangy Foster-Mosely
• Four Corners Testing LLC
• Regan Joy Frake, M.D.
• Tieara Freeman, MS

• Family Medicine Physician in Locust Grove, GA
• Providers in Locust Grove, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2019; 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.

Verify at the official NPI Registry.