Individual provider Active NPI

Tina Jones, M.D.

  • Internal Medicine Physician
  • Smyrna, GA
National Provider Identifier
1730147117
Registry record updated Mar 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
029010 Issued in GA
Practice address
3969 S Cobb Dr SE
Suite 201
Smyrna, GA 30080-6358
Phone
(770) 438-2942
Fax
(770) 438-6560
NPI assigned
May 3, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 28, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 029010 GA Primary

Addresses

Primary practice location

3969 S Cobb Dr SE
Suite 201
Smyrna, GA 30080-6358

Mailing address

3969 S Cobb Dr SE
Suite 201
Smyrna, GA 30080-6358
Phone (770) 438-2942

Other identifiers 6

IdentifierTypeStateIssuer
00522112AMedicaidGA
58-1820883OtherGAHUMANA
7166299OtherGACIGNA
318475OtherGAWELLCARE OF GEORGIA
4582404OtherGAAETNA
58-1820883OtherGACOVENTRY HEALTHCARE

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
I20061027000167 GA Practitioner - Internal Medicine 3678570074 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
University of Cincinnati College of Medicine, 1978
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

3969 S Cobb Dr SE
Suite 201
Smyrna, GA 30080-6317
Phone (770) 438-2942

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
029010GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Cumberland Women'S Health Center, PC Internal Medicine CurrentSince Jul 1, 1966 Accepting new patients

Locations

3969 S Cobb Dr SE
Ste 201
Smyrna, GA 30080
Phone (770) 438-2942

3969 S Cobb Dr SE
Ste 205
Smyrna, GA 30080
Phone (404) 400-2683

Interoperability endpoints

  • Direct secure messaging: tina.jones.1@8768.direct.athenahealth.com
  • FHIR API: https://api.platform.athenahealth.com/8768/brand/1/csg/1/fhir/r4

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.

Hospital & facility affiliations 4

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": "1146614400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1206662400000",
    "number": "1730147117",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-2942",
            "fax_number": "770-438-6560"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3969 S COBB DR SE",
            "address_2": "SUITE 201",
            "city": "SMYRNA",
            "state": "GA",
            "postal_code": "300806358",
            "telephone_number": "770-438-2942",
            "fax_number": "770-438-6560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TINA",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-05-03",
        "last_updated": "2008-03-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "029010",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00522112A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HUMANA",
            "identifier": "58-1820883",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CIGNA",
            "identifier": "7166299",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE OF GEORGIA",
            "identifier": "318475",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "4582404",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COVENTRY HEALTHCARE",
            "identifier": "58-1820883",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Smyrna, GA

Sources for this page

Verify at the official NPI Registry.