Individual provider Active NPI

Mindy Kate Jones

  • Family Nurse Practitioner
  • Hinesville, GA
National Provider Identifier
1508572744
Registry record updated Jan 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN232348 Issued in GA
Practice address
1028 W Oglethorpe Hwy
Hinesville, GA 31313-5424
Phone
(912) 255-4057
NPI assigned
Jan 30, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN232348 GA Primary

Addresses

Primary practice location

1028 W Oglethorpe Hwy
Hinesville, GA 31313-5424

Mailing address

1500 1St Ave N Unit 3
Birmingham, AL 35203-1866

Medicare participation

Medicare enrollment files
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: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230208000267 GA Practitioner - Nurse Practitioner 1456723048 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acs Primary Care Physicians - Southeast PCGroup PAC ID 5193620714, 409 clinicians

Practice addresses (Care Compare)

1900 Tebeau St
Waycross, GA 31501-6357
Phone (912) 283-3030

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
RN232348GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Coastal Community Health Services, Inc. CurrentSince Sep 5, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Feb 8, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 13, 2023 Accepting new patients
Acs Primary Care Physicians - Southeast PC CurrentSince Aug 1, 2023 Accepting new patients
Rural Urgent Care LLC CurrentSince Jan 13, 2023 Accepting new patients
Coastal Community Health Services Inc CurrentSince Sep 5, 2023 Accepting new patients

Locations

1500 1st Ave N
Unit 3
Birmingham, AL 35203
Phone (205) 545-5088

1408 Tallahassee Hwy
Ste Z
Bainbridge, GA 39819
Phone (229) 400-9033

1600 Ellis St
Brunswick, GA 31520
Phone (912) 289-2006

106 Shoppers Way
Ste 101
Brunswick, GA 31525
Phone (912) 275-8208

100 Professional Center Dr
Brunswick, GA 31525

1022 Miller Ln SW
Darien, GA 31305
Phone (912) 257-8028

1028 W Oglethorpe Hwy
Hinesville, GA 31313
Phone (912) 255-4057

1245 Noah Dr
Jasper, GA 30143
Phone (706) 253-1954

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

1900 Tebeau St
Waycross, GA 31501
Phone (912) 283-3030

Organizations & group practices 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1675036800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1508572744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 1ST AVE N UNIT 3",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352031866"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1028 W OGLETHORPE HWY",
            "city": "HINESVILLE",
            "state": "GA",
            "postal_code": "313135424",
            "telephone_number": "912-255-4057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "MINDY",
        "middle_name": "KATE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-30",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN232348",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Hinesville, GA

Sources for this page

Verify at the official NPI Registry.