Individual provider Active NPI

Paul Bernard Jones, MD

  • Vascular Surgery Physician
  • Stockbridge, GA
National Provider Identifier
1598965006
Registry record updated Sep 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Vascular Surgery PhysicianTaxonomy code 2086S0129X
License
66855 Issued in GA
Practice address
4045 Mt Zion Pkwy
Stockbridge, GA 30281
Phone
(770) 919-5238
Fax
(770) 954-5168
NPI assigned
Jul 23, 2007
Last updated
Sep 9, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2026

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Vascular Surgery Physician 2086S0129X 35.094050 OH
Vascular Surgery Physician 2086S0129X 66855 GA Primary

Addresses

Primary practice location

4045 Mt Zion Pkwy
Stockbridge, GA 30281

Mailing address

4045 Mt Zion Pkwy
Stockbridge, GA 30281
Phone (770) 919-5238

Other identifiers 1

IdentifierTypeStateIssuer
0033113028AMedicaidGA

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: Yes
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110926000819 GA Practitioner - Vascular Surgery 2365613254 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Vascular Surgery
Education
Meharry Medical College School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
South Atlanta Vascular Institute, LLCGroup PAC ID 7315289972, 3 clinicians

Practice addresses (Care Compare)

7402 Davidson Pkwy S
Stockbridge, GA 30281-4175
Phone (770) 919-5238

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Varicose vein removal14
Leg revascularization (restoring blood flow)16

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
66855GAMDVascular Surgery Physician
35.094050OHMDVascular Surgery Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Tanner Medical Group Inc Vascular Surgery CurrentSince Jun 7, 2019 Accepting new patients
South Atlanta Vascular Institute, LLC Vascular Surgery CurrentSince Feb 14, 2019 Accepting new patients

Locations

157 Clinic Ave
Ste 302
Carrollton, GA 30117
Phone (770) 812-5902

157 Clinic Ave
Ste 302C
Carrollton, GA 30117
Phone (770) 834-3336

7402 Davidson Pkwy S
Stockbridge, GA 30281
Phone (770) 507-4070

7402 Davidson Pkwy S
Stockbridge, GA 30281
Phone (770) 507-0909

690 Dallas Hwy
Ste 207A
Villa Rica, GA 30180
Phone (770) 456-3646

690 Dallas Hwy
Ste 207B
Villa Rica, GA 30180
Phone (770) 812-5902

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/18188/brand/1/csg/1/fhir/r4
  • Direct secure messaging: paul.jones.1@18188.direct.athenahealth.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/BIJACD

Organizations & group practices 2

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.

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": "1185148800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1788912000000",
    "number": "1598965006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4045 MT ZION PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-919-5238",
            "fax_number": "770-954-5168"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4045 MT ZION PKWY",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "30281",
            "telephone_number": "770-919-5238",
            "fax_number": "770-954-5168"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAUL",
        "middle_name": "BERNARD",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-23",
        "last_updated": "2026-09-09",
        "certification_date": "2026-09-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "OH",
            "license": "35.094050",
            "primary": false
        },
        {
            "code": "2086S0129X",
            "taxonomy_group": "",
            "desc": "Surgery, Vascular Surgery",
            "state": "GA",
            "license": "66855",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0033113028A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Stockbridge, GA

Sources for this page

Verify at the official NPI Registry.