Individual provider Active NPI

Arnaldo M Jimenez, M.D.

  • Gastroenterology Physician
  • Buford, GA
National Provider Identifier
1669533113
Registry record updated Aug 31, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Gastroenterology PhysicianTaxonomy code 207RG0100X
License
MA61111 Issued in NJ
Practice address
4700 Nelson Brogdon Blvd
Suite 200
Buford, GA 30518-5400
Phone
(678) 546-2929
Fax
(678) 546-2921
NPI assigned
Dec 12, 2006
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 31, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Gastroenterology Physician 207RG0100X MA61111 NJ Primary

Addresses

Primary practice location

4700 Nelson Brogdon Blvd
Suite 200
Buford, GA 30518-5400

Mailing address

100 Cobblestone Way
Alpharetta, GA 30009-6805
Phone (678) 546-2929

Other identifiers 1

IdentifierTypeStateIssuer
7449607MedicaidNJ

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
I20131217000759 GA Practitioner - GastroenterologyPractitioner - Internal Medicine 0042335572 Practice locations: Buford, GA

Care Compare profile

Medicare Care Compare
Specialty
GastroenterologyAlso: Internal Medicine
Education
Ponce School of Medicine, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

4700 Nelson Brogdon Blvd
Suite 200
Buford, GA 30518-5400

4700 Nelson Brogdon Blvd
Suite 200
Buford, GA 30518-5401
Phone (678) 546-2929

Hospital & facility affiliations

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy153
Upper gastrointestinal (GI) endoscopy for acid reflux53

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
MA61111NJMDGastroenterology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Arnaldo Jimenez,MD PC Past Accepting new patients
Cardiovascular Clinic of North Georgia PC Past Accepting new patients
Milliennieum Gastroenterology Inc Gastroenterology Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: drjimenez@direct.digidms.com
  • FHIR API: https://fhir4.healow.com/fhir/r4/EFEHBA

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.

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": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1693440000000",
    "number": "1669533113",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 COBBLESTONE WAY",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300096805",
            "telephone_number": "678-546-2929",
            "fax_number": "678-546-2921"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4700 NELSON BROGDON BLVD",
            "address_2": "SUITE 200",
            "city": "BUFORD",
            "state": "GA",
            "postal_code": "305185400",
            "telephone_number": "678-546-2929",
            "fax_number": "678-546-2921"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JIMENEZ",
        "first_name": "ARNALDO",
        "middle_name": "M",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-12-12",
        "last_updated": "2023-08-31",
        "certification_date": "2023-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207RG0100X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Gastroenterology",
            "state": "NJ",
            "license": "MA61111",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7449607",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Buford, GA

Sources for this page

Verify at the official NPI Registry.