Active NPI
Jesse Lee Jones, MD
- Obstetrics & Gynecology Physician
- Tucker, GA
National Provider Identifier
1407810781
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Obstetrics & Gynecology Physician
- License
- 035072
- Practice address
- 1370 Montreal Rd
Suite 170
Tucker, GA 30084-8128 - Phone
- (770) 621-0870
- Fax
- (770) 621-9518
- NPI assigned
- Apr 14, 2006
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Obstetrics & Gynecology Physician | 207V00000X | 035072 | GA | Primary |
Addresses
Primary practice location
1370 Montreal Rd
Suite 170
Tucker, GA 30084-8128
Mailing address
PO Box 88607
Dunwoody, GA 30356-8607
Phone (770) 621-0870
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 00657544F | Medicaid | GA | |
| 00657544B | Medicaid | GA |
Other names 1
- Jesse L Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 035072 | GA | MD | Obstetrics & Gynecology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Dekalb Medical Psych Unit | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Psychiatric Hospital Unit
- Decatur, GA
- NPI 1821099474
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144972800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1618444800000",
"number": "1407810781",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 88607",
"city": "DUNWOODY",
"state": "GA",
"postal_code": "303568607",
"telephone_number": "770-621-0870",
"fax_number": "770-621-9518"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1370 MONTREAL RD",
"address_2": "SUITE 170",
"city": "TUCKER",
"state": "GA",
"postal_code": "300848128",
"telephone_number": "770-621-0870",
"fax_number": "770-621-9518"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JESSE",
"middle_name": "LEE",
"credential": "MD",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-14",
"last_updated": "2021-04-15",
"certification_date": "2021-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "207V00000X",
"taxonomy_group": "",
"desc": "Obstetrics & Gynecology",
"state": "GA",
"license": "035072",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00657544F",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00657544B",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "JESSE",
"last_name": "JONES",
"middle_name": "L",
"credential": "MD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Tucker, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.