Individual provider Active NPI

Heather Donielle Jones, MD

  • Psychiatry Physician
  • Roswell, GA
National Provider Identifier
1689710790
Registry record updated Jan 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
062900 Issued in GA
Practice address
801 Macy Dr
Roswell, GA 30076-6333
Phone
(678) 799-9277
NPI assigned
Jan 29, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 12, 2016

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X 4301072935 MI
Psychiatry Physician 2084P0800X 062900 GA Primary

Addresses

Primary practice location

801 Macy Dr
Roswell, GA 30076-6333

Mailing address

801 Macy Dr
Roswell, GA 30076-6333
Phone (678) 799-9277

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
I20130815000599 GA Practitioner - Psychiatry 8022250372 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Psychiatry
Education
Morehouse School of Medicine, 2009
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

801 Macy Dr
Roswell, GA 30076-6333
Phone (678) 795-0346

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
4301072935MIMDFamily Medicine Physician
062900GAMDPsychiatry Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Osama Saad Hindash CurrentSince Jul 1, 2013 Accepting new patients

Locations

801 Macy Dr
Roswell, GA 30076
Phone (678) 795-0346

Organizations & group practices 1

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": "1170028800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1452556800000",
    "number": "1689710790",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "801 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766333",
            "telephone_number": "678-799-9277",
            "fax_number": "678-974-3242"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 MACY DR",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300766333",
            "telephone_number": "678-799-9277"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "HEATHER",
        "middle_name": "DONIELLE",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-29",
        "last_updated": "2016-01-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "MI",
            "license": "4301072935",
            "primary": false
        },
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "062900",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.