Jeanine L Jones, DPM

Primary specialty

PodiatristTaxonomy code 213E00000X

License

POD001020 Issued in GA

Practice address

1430 Pennsylvania Ave
McDonough, GA 30253-9111

Phone

(678) 610-5988

Fax

(678) 610-5976

NPI assigned

Jul 13, 2006

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

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Specialty

Podiatry

Education

New York College of Podiatric Medicine, 2002

Medicare assignment

May accept Medicare assignment

Group practices

Preferred Podiatry Group PCGroup PAC ID 3971412677, 131 clinicians

Mystic Medical LLCGroup PAC ID 6305165655, 8 clinicians

Practice addresses (Care Compare)

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

State licenses

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/12878/brand/2/csg/1/fhir/r4

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.

• Mystic Medical, LLC

  • Foot & Ankle Surgery Podiatrist
  • Atlanta, GA
  • NPI 1093108763
  Medicare reassignment Care Compare group
• Premier Foot and Ankle Center LLC

  • Podiatrist
  • McDonough, GA
  • NPI 1679642516
  Medicare reassignment Authorized official
• Preferred Podiatry Group PC

  • Podiatrist
  • Oak Harbor, WA
  • NPI 1720037138

  GA

  Medicare reassignment Care Compare group

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

{
    "created_epoch": "1152748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1487203200000",
    "number": "1427073899",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1462 MONTREAL RD",
            "address_2": "STE 316",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300846924",
            "telephone_number": "678-610-5988"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 PENNSYLVANIA AVE",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302539111",
            "telephone_number": "678-610-5988",
            "fax_number": "678-610-5976"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "JEANINE",
        "middle_name": "L",
        "name_prefix": "Dr.",
        "credential": "DPM",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-13",
        "last_updated": "2017-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "213E00000X",
            "taxonomy_group": "",
            "desc": "Podiatrist",
            "state": "GA",
            "license": "POD001020",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shelly-Anne Johnson
• Valeria Johnson, LPN
• Zaklyn Johnson, RDH
• Renea Jones-Hudson
• Charlqwesha Necole Jones
• Jena Marie Jones, CPNP
• Michael D Jones, MD
• Sarah Jones, O.D.
• Stephanie A Jones
• Tasha E Jones, LCSW

• Podiatrist in McDonough, GA
• Providers in McDonough, GA by specialty
• Podiatrist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2017; 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.