Individual provider Active NPI

Brad Jay Jones

  • Family Nurse Practitioner
  • Valdosta, GA
National Provider Identifier
1639640436
Registry record updated Dec 6, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN197722 Issued in GA
Practice address
470 Lazy River Dr
Valdosta, GA 31602-8245
Phone
(706) 988-9032
NPI assigned
Dec 6, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 6, 2018

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 RN197722 GA Primary

Addresses

Primary practice location

470 Lazy River Dr
Valdosta, GA 31602-8245

Mailing address

470 Lazy River Dr
Valdosta, GA 31602-8245

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
I20200615003349 GA Practitioner - Nurse Practitioner 1850713199 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Hartwell Family Practice, P.C.Group PAC ID 5799766911, 5 clinicians

Practice addresses (Care Compare)

229 Athens St
Hartwell, GA 30643-1854
Phone (706) 376-3957

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Hartwell Family Practice, P.C. CurrentSince May 13, 2025 Accepting new patients
SGMC Affiliated Services LLC CurrentSince Jan 1, 2025 Accepting new patients
South Georgia Emergency Medicine Associates PC CurrentSince Jan 15, 2022 Accepting new patients

Locations

229 Athens St
Hartwell, GA 30643
Phone (706) 356-0591

4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

4256 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 242-1234

520 Griffin Ave
Ste A
Valdosta, GA 31601
Phone (229) 433-7340

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.

NPI Registry JSON

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

{
    "created_epoch": "1544054400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1544054400000",
    "number": "1639640436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "470 LAZY RIVER DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316028245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "470 LAZY RIVER DR",
            "city": "VALDOSTA",
            "state": "GA",
            "postal_code": "316028245",
            "telephone_number": "706-988-9032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "BRAD",
        "middle_name": "JAY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-12-06",
        "last_updated": "2018-12-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN197722",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Valdosta, GA

Sources for this page

Verify at the official NPI Registry.