Peachtree Family Medicine, LLC.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

Legal business name

PEACHTREE FAMILY MEDICINE, LLC.

Practice address

330 Peachtree St
Jesup, GA 31545-0246

Phone

(912) 415-8552

NPI assigned

Oct 25, 2024

Organization subpart

No

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

Authorized official

Name

Jennifer Holly Jones, FNP-CNPI 1407365265

Title

Owner

Phone

(912) 415-8552

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Locations

Practitioners 6

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Jennifer Holly Jones, FNP-BC

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1407365265
  Medicare reassignment Care Compare group NPD Authorized official
• Grace Caryn Prince Lee, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1225994460
  Medicare reassignment Care Compare group NPD
• Kayla Mathie, FNP-C

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1609684331
  Medicare reassignment Care Compare group NPD
• Jose Salvador Reyes Oliva, MD

  • Nephrology Physician
  • Brunswick, GA
  • NPI 1770978900

  Single Specialty

  Medicare reassignment NPD
• Tandy M Smith, MSN, APRN, FNP-BC

  • Family Nurse Practitioner
  • Jesup, GA
  • NPI 1457632721
  Medicare reassignment NPD
• Jennifer H Jones, LCSW

  • Clinical Social Worker
  • Atlanta, GA
  • NPI 1174607964
  NPD (past)

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

{
    "created_epoch": "1729814400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1733270400000",
    "number": "1700608353",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1414 OGDEN LOOP",
            "city": "ODUM",
            "state": "GA",
            "postal_code": "31555",
            "telephone_number": "912-415-8552"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 PEACHTREE ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450246",
            "telephone_number": "912-415-8552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEACHTREE FAMILY MEDICINE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-10-25",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "HOLLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "912-415-8552",
        "authorized_official_credential": "FNP-C"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Orzelek, PT, DPT
• Jeffrey Padgett
• Pain Treatment Centers of Georgia LLC
• Paulette Parker, LCSW
• Sarah Elizabeth Paulino-Plummer
• Angela Perry, NP
• Pham General Surgery, P.C.
• Quynhanh H Pham, MD
• Robert L. Phillips, M.D.
• Ashley Pineda, OT

• Family Medicine Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• 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.