Active NPI
Jerrel Andre Jones, DC, LMT
- Chiropractor
- Snellville, GA
National Provider Identifier
1689949554
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Chiropractor
- License
- CHIR010561
- Practice address
- 1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685 - Phone
- (678) 400-6711
- NPI assigned
- Mar 12, 2012
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Reflexologist | 173C00000X | MT006503 | GA | |
| Massage Therapist | 225700000X | MT006503 | GA | |
| Chiropractor | 111N00000X | CHIR010561 | GA | Primary |
Addresses
Primary practice location
1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685
Mailing address
1630 Scenic Hwy N Ste Y
Snellville, GA 30078-5685
Phone (678) 400-6711
Other practice location 1
1099 Dogwood Rd
Snellville, GA 30078-2004
Phone (404) 936-5770
Other practice location 2
3035 Five Forks Trickum Rd SW Ste 7
Lilburn, GA 30047-1874
Phone (770) 985-5223
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 |
|---|---|---|---|
| MT006503 | GA | MD | Reflexologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fuller Life Chiropractic Center PC | Chiropractor | Current | Accepting new patients |
| Massage and Medspa Solutions | Past | Accepting new patients |
Locations
40 Eastbrook Bnd
Ste C
Peachtree Cty, GA 30269
Phone (706) 646-4333
Organizations & group practices 2
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.
-
- Chiropractor
- Manchester, GA
- NPI 1417129081
-
- Clinic/Center
- Sandy Springs, GA
- NPI 1134940919
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1331510400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1747612800000",
"number": "1689949554",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1630 SCENIC HWY N STE Y",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785685",
"telephone_number": "678-400-6711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1630 SCENIC HWY N STE Y",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300785685",
"telephone_number": "678-400-6711"
}
],
"practiceLocations": [
{
"address_1": "1099 Dogwood Rd",
"address_purpose": "LOCATION",
"city": "Snellville",
"state": "GA",
"postal_code": "300782004",
"country_code": "US",
"telephone_number": "404-936-5770",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "3035 Five Forks Trickum Rd SW Ste 7",
"address_purpose": "LOCATION",
"city": "Lilburn",
"state": "GA",
"postal_code": "300471874",
"country_code": "US",
"telephone_number": "770-985-5223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "JONES",
"first_name": "JERREL",
"middle_name": "ANDRE",
"credential": "DC, LMT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2012-03-12",
"last_updated": "2025-05-19",
"certification_date": "2025-05-19",
"status": "A"
},
"taxonomies": [
{
"code": "173C00000X",
"taxonomy_group": "",
"desc": "Reflexologist",
"state": "GA",
"license": "MT006503",
"primary": false
},
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "GA",
"license": "MT006503",
"primary": false
},
{
"code": "111N00000X",
"taxonomy_group": "",
"desc": "Chiropractor",
"state": "GA",
"license": "CHIR010561",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2025; 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.