Active NPI
Jerlyn Jones, RD
- Registered Dietitian
- Atlanta, GA
National Provider Identifier
1639421910
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Dietitian
- License
- LD003788
- Practice address
- 1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653 - Phone
- (678) 553-4935
- NPI assigned
- Oct 10, 2012
- 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 |
|---|---|---|---|---|
| Registered Dietitian | 133V00000X | LD003788 | GA | Primary |
Addresses
Primary practice location
1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318-6653
Mailing address
375 Ralph McGill Blvd NE Apt 1505
Atlanta, GA 30312-1249
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| LD003788 | GA | MD | Registered Dietitian |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hope First Investments | Current | Accepting new patients | |
| The Good Samaritan Health Center, Inc. | Current | Accepting new patients | |
| Lifestyle Dietitian LLC | Dietitian, Registered | Current | Accepting new patients |
Locations
1015 Donald Lee Hollowell Pkwy NW
Atlanta, GA 30318
Phone (404) 523-6571
Organizations & group practices 3
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.
-
- Primary Care Clinic/Center
- Atlanta, GA
- NPI 1629254008
-
- Pharmacy
- Atlanta, GA
- NPI 1861114977
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1506297600000",
"number": "1639421910",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "375 RALPH MCGILL BLVD NE APT 1505",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303121249"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1015 DONALD LEE HOLLOWELL PKWY NW",
"city": "ATLANTA",
"state": "GA",
"postal_code": "303186653",
"telephone_number": "678-553-4935"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "JERLYN",
"credential": "RD",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2017-09-25",
"status": "A"
},
"taxonomies": [
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "GA",
"license": "LD003788",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Atlanta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 25, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.