Active NPI
Vickie Denese Jones, MD
- Pediatrics Physician
- Tucker, GA
National Provider Identifier
1457438129
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- 044503
- Practice address
- 1918 Northlake Pkwy
Tucker, GA 30084-7070 - Phone
- (770) 809-3332
- NPI assigned
- Nov 1, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | 044503 | GA | Primary |
Addresses
Primary practice location
1918 Northlake Pkwy
Tucker, GA 30084-7070
Mailing address
3097 Lions Club LN;
Lithania, GA 30038
Phone (678) 467-3006
Other practice location 1
3097 Lions Club Ln;
Lithania, GA 30038
Phone (678) 467-3006
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000765542AB | Medicaid | GA |
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)
- Enrolled
- Credentials
- Doctor of Medicine
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Franklin Primary Health Center Inc. | Pediatrics | Current | Accepting new patients |
Locations
1303 Dr Martin L King Jr Ave
Mobile, AL 36603
Phone (251) 436-7646
1303 Dr Martin L King Jr Ave
#A
Mobile, AL 36603
Interoperability endpoints
- vickie.jones@daffodilpeds.gadirect.net
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.
-
- Federally Qualified Health Center (FQHC)
- Mobile, AL
- NPI 1679532303
Pediatrics
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1162339200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1619654400000",
"number": "1457438129",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3097 LIONS CLUB LN;",
"city": "LITHANIA",
"state": "GA",
"postal_code": "30038",
"telephone_number": "678-467-3006"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1918 NORTHLAKE PKWY",
"city": "TUCKER",
"state": "GA",
"postal_code": "300847070",
"telephone_number": "770-809-3332"
}
],
"practiceLocations": [
{
"address_1": "3097 Lions Club Ln;",
"address_purpose": "LOCATION",
"city": "Lithania",
"state": "GA",
"postal_code": "30038",
"country_code": "US",
"telephone_number": "678-467-3006",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "VICKIE",
"middle_name": "DENESE",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-01",
"last_updated": "2021-04-29",
"certification_date": "2021-04-29",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "GA",
"license": "044503",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000765542AB",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
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 29, 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.