Mary Shayne Jones, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OTA001301 Issued in GA

Practice address

2047 Sweet Home Church Rd
Eastman, GA 31023-8705

Phone

(478) 231-0163

NPI assigned

Dec 4, 2012

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1354579200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1354579200000",
    "number": "1386989267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 SWEET HOME CHURCH RD",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310238705",
            "telephone_number": "478-231-0163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 SWEET HOME CHURCH RD",
            "city": "EASTMAN",
            "state": "GA",
            "postal_code": "310238705",
            "telephone_number": "478-231-0163"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MARY",
        "middle_name": "SHAYNE",
        "name_prefix": "Miss",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-12-04",
        "last_updated": "2012-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "GA",
            "license": "OTA001301",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• I V Care of Middle Georgia Inc
• James H Tison MD PC
• John a. Glenn Jr. Center for Community Healthcare Inc.
• John D Roberts MDPC
• Charity Rena Joiner
• Paula Atrice Jones, OTR
• Jaime Josey
• Michael A. Knight Sr., D.D.S.
• Michael Alan Knight Jr., DMD
• Daniel Wilson Krevdo, RPA

• Occupational Therapy Assistant in Eastman, GA
• Providers in Eastman, GA by specialty
• Occupational Therapy Assistant in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2012; 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.