Miguel A Jimenez, M.D.

Primary specialty

Orthopaedic Surgery of the Spine PhysicianTaxonomy code 207XS0117X

License

52966 Issued in GA

Practice address

3903 S Cobb Dr SE
Suite 105
Smyrna, GA 30080-6342

Phone

(678) 838-6600

Fax

(770) 438-1477

NPI assigned

Jul 11, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other identifiers 5

Medicare fee-for-service enrollment

Enrolled in FL

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

Specialty

Orthopedic Surgery

Education

Other, 1993

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Summit Spine Associates PA

  • Orthopaedic Surgery Physician
  • Defuniak Springs, FL
  • NPI 1780576033

  Single Specialty

  Medicare reassignment NPD Authorized official
• Georgia Spine Specialists

  • Orthopaedic Surgery Physician
  • Smyrna, GA
  • NPI 1417987207

  Single Specialty

  NPD (past) Authorized official
• Georgia Spine and Brain, PC

  • Neurological Surgery Physician
  • Austell, GA
  • NPI 1306876198

  Single Specialty

  NPD (past)
• Advanced Healthcare SC

  • Internal Medicine Physician
  • Milwaukee, WI
  • NPI 1154371847

  Single Specialty

  NPD (past)
• Aurora Advanced Healthcare, Inc.

  • Family Medicine Physician
  • Milwaukee, WI
  • NPI 1265629133

  Single Specialty

  NPD (past)

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

{
    "created_epoch": "1152576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786406400000",
    "number": "1649204751",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3280 POINTE PKWY STE 2550",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300923473",
            "telephone_number": "877-877-7411",
            "fax_number": "877-877-7411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3903 S COBB DR SE",
            "address_2": "SUITE 105",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806342",
            "telephone_number": "678-838-6600",
            "fax_number": "770-438-1477"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "4415 US Highway 331 S Ste 300",
            "address_purpose": "LOCATION",
            "city": "Defuniak Springs",
            "state": "FL",
            "postal_code": "324356307",
            "country_code": "US",
            "telephone_number": "404-922-3764",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "MIGUEL",
        "middle_name": "A",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-07-11",
        "last_updated": "2026-08-11",
        "certification_date": "2026-08-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207XS0117X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "GA",
            "license": "52966",
            "primary": true
        },
        {
            "code": "207XS0117X",
            "taxonomy_group": "",
            "desc": "Orthopaedic Surgery, Orthopaedic Surgery of the Spine",
            "state": "FL",
            "license": "ME152324",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615972752B",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS AUSTELL ID",
            "identifier": "52062173008",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "805775515A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS CARTERSVILLE ID",
            "identifier": "52062173007",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "615972752A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Shellina R Jenkins, LPC
• Jennings W Bristol DDS PC
• Charay Jennings-Dover, M.D., PH.D.
• Courtney D Jennings, PHARMD
• Jenny Van Overbeke Brooks, PH.D., P.C.
• Anna Jin, APC
• Jiton P.C.
• Jjedu LLC
• Nykeya Jjmes, LPC
• John S. Carman, MD Psychiatry & Research PC

• Orthopaedic Surgery of the Spine Physician in Smyrna, GA
• Providers in Smyrna, GA by specialty
• Orthopaedic Surgery of the Spine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 11, 2026; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.