Active NPI
Susan Katherine Jones, D.M.D
- General Practice Dentistry
- Augusta, GA
National Provider Identifier
1598819930
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- DN013339
- Practice address
- 1518 Monte Sano Ave
Augusta, GA 30904-5323 - Phone
- (762) 222-7040
- Fax
- (762) 222-7032
- NPI assigned
- Jan 23, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | DN013339 | GA | Primary |
Addresses
Primary practice location
1518 Monte Sano Ave
Augusta, GA 30904-5323
Mailing address
1518 Monte Sano Ave
Augusta, GA 30904-5323
Phone (762) 222-7040
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 313255817F | Medicaid | GA |
Other names 1
- Dr. Sky Jones
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: No
- Hospice: Yes
- Opted out of Medicare
- Yes, effective Jan 25, 2016 through Jan 25, 2028
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| DN013339 | GA | MD | General Practice Dentistry |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Augusta Family Dental, LLC | General Practice | Past | Accepting new patients |
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.
-
- General Practice Dentistry
- Hephzibah, GA
- NPI 1376324996
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1169510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1476835200000",
"number": "1598819930",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1518 MONTE SANO AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045323",
"telephone_number": "762-222-7040",
"fax_number": "762-222-7032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1518 MONTE SANO AVE",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309045323",
"telephone_number": "762-222-7040",
"fax_number": "762-222-7032"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "SUSAN",
"middle_name": "KATHERINE",
"name_prefix": "Dr.",
"credential": "D.M.D",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-23",
"last_updated": "2016-10-19",
"status": "A"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "",
"desc": "Dentist, General Practice",
"state": "GA",
"license": "DN013339",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "313255817F",
"state": "GA"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "SKY",
"last_name": "JONES",
"prefix": "DR.",
"credential": "D.M.D",
"code": "2",
"type": "Professional Name"
}
]
}Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 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; Opt Out Affidavits.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.