Individual provider Active NPI

Anissa Monique Jones, D.C.

  • Chiropractor
  • Macon, GA
National Provider Identifier
1730249954
Registry record updated Jul 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CHIR006616 Issued in GA
Practice address
419 Cherry St
Macon, GA 31201-3320
Phone
(478) 746-7246
Fax
(478) 746-7241
NPI assigned
Dec 11, 2006
Last updated
Jul 10, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Chiropractor 111N00000X CHIR006616 GA Primary

Addresses

Primary practice location

419 Cherry St
Macon, GA 31201-3320

Mailing address

PO Box 6581
Macon, GA 31208-6581
Phone (478) 746-7246

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090105000302 GA Practitioner - Chiropractic 7618039405 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Chiropractic
Education
Life Chiropractic College - West, 1998
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

419 Cherry St
Macon, GA 31201-3320
Phone (478) 746-7246

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
CHIR006616GAMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Total Health Chiropractic and Wellness Center Chiropractor CurrentSince Sep 30, 2014 Accepting new patients

Locations

419 Cherry St
Macon, GA 31201
Phone (478) 746-7246

498 Poplar St
Macon, GA 31201
Phone (478) 746-7246

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1165795200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1720569600000",
    "number": "1730249954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6581",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312086581",
            "telephone_number": "478-746-7246",
            "fax_number": "147-874-7241"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 CHERRY ST",
            "city": "MACON",
            "state": "GA",
            "postal_code": "312013320",
            "telephone_number": "478-746-7246",
            "fax_number": "478-746-7241"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "ANISSA",
        "middle_name": "MONIQUE",
        "name_prefix": "Dr.",
        "credential": "D.C.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-11",
        "last_updated": "2024-07-10",
        "certification_date": "2024-07-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "",
            "desc": "Chiropractor",
            "state": "GA",
            "license": "CHIR006616",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Macon, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 10, 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.