Active NPI
Jason Fleury, PA
- Physician Assistant
- Canton, GA
National Provider Identifier
1386885069
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 5556
- Practice address
- 15 Reinhardt College Pkwy Ste 110
Canton, GA 30114-5259 - Phone
- (770) 720-2383
- NPI assigned
- Mar 10, 2009
- Last updated
- Jul 17, 2023
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 5556 | GA | Primary |
| Cardiovascular Disease Physician | 207RC0000X | 5556 | GA | |
| Nuclear Cardiology Physician | 207UN0901X | 5556 | GA |
Addresses
Primary practice location
15 Reinhardt College Pkwy Ste 110
Canton, GA 30114-5259
Mailing address
95 Collier Road NW
Suite 2035
Atlanta, GA 30309
Phone (404) 605-2800
Other practice location 1
220 J L White Dr
Suite 100
Jasper, GA 30143-4893
Phone (404) 605-2800
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 003100393C | Medicaid | GA |
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: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physician Assistant
- Education
- Yale University School of Medicine, 2008
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
1266 Hwy 515 S
Jasper, GA 30143-4872
Phone (706) 692-2441
1412 Milstead Ave NE
Conyers, GA 30012-3877
Phone (770) 918-3000
745 Poplar Rd
Newnan, GA 30265-1618
Phone (770) 253-1912
Hospital & facility affiliations
Merit-based Incentive Payment System (MIPS)
- Final score
- 91.62 of 100
- Quality
- 83.25
- Promoting interoperability
- 100
- Improvement activities
- 40
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5556 | GA | MD | Cardiovascular Disease Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atlanta Spine Institute | Past | Accepting new patients | |
| Atlanta Sports Medicine & Orthopaedic Center | Past | Accepting new patients |
Organizations & group practices 3
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.
-
dba Piedmont Heart Institute
- Cardiovascular Disease Physician
- Atlanta, GA
- NPI 1275729691
-
- Orthopaedic Surgery of the Spine Physician
- Atlanta, GA
- NPI 1255535209
-
- Sports Medicine (Family Medicine) Physician
- Atlanta, GA
- NPI 1912030982
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
dba Northside Hospital
- General Acute Care Hospital
- Atlanta, GA
- NPI 1457396079
-
dba Piedmont Mountainside Hospital
- General Acute Care Hospital
- Jasper, GA
- NPI 1780643411
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1236643200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1689552000000",
"number": "1386885069",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "95 COLLIER ROAD NW",
"address_2": "SUITE 2035",
"city": "ATLANTA",
"state": "GA",
"postal_code": "30309",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "15 REINHARDT COLLEGE PKWY STE 110",
"city": "CANTON",
"state": "GA",
"postal_code": "301145259",
"telephone_number": "770-720-2383"
}
],
"practiceLocations": [
{
"address_1": "220 J L White Dr",
"address_2": "Suite 100",
"address_purpose": "LOCATION",
"city": "Jasper",
"state": "GA",
"postal_code": "301434893",
"country_code": "US",
"telephone_number": "404-605-2800",
"fax_number": "404-351-5983",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FLEURY",
"first_name": "JASON",
"name_prefix": "Mr.",
"credential": "PA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2009-03-10",
"last_updated": "2023-07-17",
"certification_date": "2023-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "GA",
"license": "5556",
"primary": true
},
{
"code": "207RC0000X",
"taxonomy_group": "",
"desc": "Internal Medicine, Cardiovascular Disease",
"state": "GA",
"license": "5556",
"primary": false
},
{
"code": "207UN0901X",
"taxonomy_group": "",
"desc": "Nuclear Medicine, Nuclear Cardiology",
"state": "GA",
"license": "5556",
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "003100393C",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Canton, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2023; 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.