Individual provider Active NPI

Jennifer Sun Xiong, MD

  • Pain Medicine (Anesthesiology) Physician
  • Fayetteville, GA
National Provider Identifier
1497250591
Registry record updated Mar 10, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pain Medicine (Anesthesiology) PhysicianTaxonomy code 207LP2900X
License
95950 Issued in GA
Practice address
874 Lanier Ave W Ste 250
Fayetteville, GA 30214-7662
Phone
(404) 618-0995
NPI assigned
Mar 29, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 10, 2026

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pain Medicine (Anesthesiology) Physician 207LP2900X 95950 GA Primary
Pain Medicine (Anesthesiology) Physician 207LP2900X 291733 MA
Pain Medicine (Anesthesiology) Physician 207LP2900X 291525 MA

Addresses

Primary practice location

874 Lanier Ave W Ste 250
Fayetteville, GA 30214-7662

Mailing address

874 Lanier Ave W Ste 250
Fayetteville, GA 30214-7662
Phone (404) 618-0995

Other practice location 1

3939 Roswell Rd Ste 240
Marietta, GA 30062-6285
Phone (404) 618-0995

Other practice location 2

371 E Paces Ferry Rd NE Ste 802
Atlanta, GA 30305-3292
Phone (404) 618-0995

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MA, GA2 enrollments
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: Yes
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20220618000061 MA Practitioner - Anesthesiology 6709135320 Reassigns benefits to 1 organization
I20230810003146 GA Practitioner - Pain ManagementPractitioner - Anesthesiology 6709135320 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Pain ManagementAlso: Anesthesiology
Education
Medical College of Georgia School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
Truffles Vein Center LLCGroup PAC ID 1355594797, 14 clinicians
Regenerative Spine and Pain SpecialistsGroup PAC ID 2163851528, 4 clinicians

Practice addresses (Care Compare)

874 Lanier Ave W
Suite 220
Fayetteville, GA 30214-7659
Phone (678) 833-1444

874 Lanier Ave W
Suite 250
Fayetteville, GA 30214-7662
Phone (404) 618-0995

Hospital & facility affiliations

  • Piedmont Fayette Hospital Hospital, Fayetteville, GA, CCN 110215
  • Wellstar Windy Hill Hospital Long-term care hospital, Marietta, GA, CCN 112007

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
291525MAMDPain Medicine (Anesthesiology) Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Brigham & Womens Physicians Organization Inc CurrentSince Jul 1, 2022 Accepting new patients
Truffles Vein Center, LLC CurrentSince Sep 8, 2023 Accepting new patients
Regenerative Spine and Pain Specialists CurrentSince Sep 18, 2023 Accepting new patients
RSPS Fayetteville ASC LLC Pain Medicine CurrentSince Jan 9, 2024 Accepting new patients
Truffles Vein of Central Georgia LLC Past Accepting new patients

Locations

371 E Paces Ferry Rd NE
Ste 802
Atlanta, GA 30305
Phone (404) 618-0995

874 Lanier Ave W
Ste 220
Fayetteville, GA 30214
Phone (678) 833-1444

874 Lanier Ave W
Ste 120
Fayetteville, GA 30214
Phone (678) 833-1444

870 Lanier Ave W
Ste 250
Fayetteville, GA 30214

874 Lanier Ave W
Ste 260
Fayetteville, GA 30214
Phone (404) 407-5959

874 Lanier Ave W
Ste 250
Fayetteville, GA 30214
Phone (404) 618-0995

3939 Roswell Rd
Ste 240
Marietta, GA 30062
Phone (678) 403-4660

96 Vinings Dr
McDonough, GA 30253
Phone (678) 833-1444

75 Francis St
Boston, MA 02115

254 2nd Ave
Ste 100
Needham Heights, MA 02494
Phone (781) 416-8412

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/FFEBCD

Organizations & group practices 5

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.

Hospital & facility affiliations 2

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1522281600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773100800000",
    "number": "1497250591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "874 LANIER AVE W STE 250",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147662",
            "telephone_number": "404-618-0995",
            "fax_number": "404-618-0995"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "874 LANIER AVE W STE 250",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302147662",
            "telephone_number": "404-618-0995"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3939 Roswell Rd Ste 240",
            "address_purpose": "LOCATION",
            "city": "Marietta",
            "state": "GA",
            "postal_code": "300626285",
            "country_code": "US",
            "telephone_number": "404-618-0995",
            "fax_number": "404-618-0995",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "371 E Paces Ferry Rd NE Ste 802",
            "address_purpose": "LOCATION",
            "city": "Atlanta",
            "state": "GA",
            "postal_code": "303053292",
            "country_code": "US",
            "telephone_number": "404-618-0995",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "XIONG",
        "first_name": "JENNIFER",
        "middle_name": "SUN",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-03-29",
        "last_updated": "2026-03-10",
        "certification_date": "2026-03-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "GA",
            "license": "95950",
            "primary": true
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "291733",
            "primary": false
        },
        {
            "code": "207LP2900X",
            "taxonomy_group": "",
            "desc": "Anesthesiology, Pain Medicine",
            "state": "MA",
            "license": "291525",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, GA

Sources for this page

Verify at the official NPI Registry.