Carolyn J Jones, FNP-BC

Primary specialty

Family Nurse PractitionerTaxonomy code 363LF0000X

License

RN146779 Issued in GA

Practice address

1636 Hatch Pkwy S
Baxley, GA 31513-4376

Phone

(912) 705-5656

Fax

(912) 705-5652

NPI assigned

Sep 3, 2015

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: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

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

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• East Georgia Healthcare Center, Inc.

  dba Swainsboro Elementary School

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
  • NPI 1194569228
  Medicare reassignment NPD
• East Georgia Healthcare Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Reidsville, GA
  • NPI 1093754905
  NPD
• East Georgia Healthcare Center, Inc.

  dba Emanuel County Institute

  • Federally Qualified Health Center (FQHC)
  • Twin City, GA
  • NPI 1568330652
  NPD
• East Georgia Healthcare Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Vidalia, GA
  • NPI 1790924918
  NPD

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

{
    "created_epoch": "1441238400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1483056000000",
    "number": "1548638877",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "215 N COLEMAN ST",
            "city": "SWAINSBORO",
            "state": "GA",
            "postal_code": "304013530",
            "telephone_number": "478-237-2638",
            "fax_number": "478-237-9138"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1636 HATCH PKWY S",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315134376",
            "telephone_number": "912-705-5656",
            "fax_number": "912-705-5652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "CAROLYN",
        "middle_name": "J",
        "credential": "FNP-BC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-09-03",
        "last_updated": "2016-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN146779",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Innovation Therapy and Wellness, LLC (FYZICAL Therapy and Balance Centers)
• Mattie Jackson
• Evelyn J Johnson, M.D.
• Jeremy Braxton Johnson, RD, LD
• Carlie R Jones, PA-C
• Tekisha Jones, FNP
• Miya Kennedy-White, LPC
• Kevin O. Keown, M.D.
• Ernest Buford Kesler Jr., EDD
• Andrew Laves

• Family Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Family Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.