NPIMap

Organization Active NPI

Marvin P. Jones MD PC

  • Specialist
  • Kingsland, GA
National Provider Identifier
1326225558
Registry record updated Jan 30, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
029692 Issued in GA
Legal business name
MARVIN P. JONES MD PC
Practice address
1375 E King Ave
Kingsland, GA 31548-6831
Phone
(912) 882-2911
Fax
(912) 882-9303
NPI assigned
Jan 30, 2008
Last updated
Jan 30, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2008

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

Authorized official

Name
Miss Louise Denise Jones
Title
Cfo
Phone
(912) 882-2911

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 029692 GA Primary

Addresses

Primary practice location

1375 E King Ave
Kingsland, GA 31548-6831

Mailing address

1375 E King Ave
Kingsland, GA 31548-6831
Phone (912) 882-2911

Other identifiers 1

IdentifierTypeStateIssuer
00347278BMedicaidGA

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1201651200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1201651200000",
    "number": "1326225558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1375 E KING AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486831",
            "telephone_number": "912-882-2911",
            "fax_number": "912-882-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1375 E KING AVE",
            "city": "KINGSLAND",
            "state": "GA",
            "postal_code": "315486831",
            "telephone_number": "912-882-2911",
            "fax_number": "912-882-9303"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARVIN P. JONES MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-30",
        "last_updated": "2008-01-30",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LOUISE",
        "authorized_official_middle_name": "DENISE",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "912-882-2911",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "029692",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00347278B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kingsland, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2008; 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.