Jon Paul Skelly, CNIM

Primary specialty

Electroneurodiagnostic Specialist/TechnologistTaxonomy code 246ZE0600X

Practice address

6298 Veterans Pkwy
Suite 5a
Columbus, GA 31909-6258

Phone

(706) 320-0927

Fax

(706) 321-8167

NPI assigned

Jan 31, 2016

Last updated

Jan 31, 2016By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1454198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1454198400000",
    "number": "1497113849",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096258",
            "telephone_number": "706-320-0927",
            "fax_number": "706-321-8167"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6298 VETERANS PKWY",
            "address_2": "SUITE 5A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319096258",
            "telephone_number": "706-320-0927",
            "fax_number": "706-321-8167"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SKELLY",
        "first_name": "JON",
        "middle_name": "PAUL",
        "credential": "CNIM",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-01-31",
        "last_updated": "2016-01-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "246ZE0500X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, EEG",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "246ZE0600X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Other, Electroneurodiagnostic",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Estella Me'Shale Sisroe
• Edith Sistrunk
• Teresa Marie Sistrunk, RBT
• Dorothy Susan Sizemore, MA, LPC, NCC
• Kaylee Skapinakis, OTR/L
• Katherine Marie Skersick, PHARMD
• Brittany Skibicki
• Tonya Skidmore
• Andria Skinner
• Elizabeth Skinner, CPNP

• Electroneurodiagnostic Specialist/Technologist in Columbus, GA
• Providers in Columbus, GA by specialty
• Electroneurodiagnostic Specialist/Technologist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2016; 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.