Individual provider Active NPI

Geraldine J Jones, NP-C

  • Family Nurse Practitioner
  • Cordele, GA
National Provider Identifier
1770899262
Registry record updated Jan 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN115669 Issued in GA
Practice address
401 E 4TH Ave
Cordele, GA 31015-3620
Phone
(229) 271-2180
Fax
(229) 276-3638
NPI assigned
Aug 23, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 23, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN115669 GA Primary

Addresses

Primary practice location

401 E 4TH Ave
Cordele, GA 31015-3620

Mailing address

PO Box 60969
Savannah, GA 31420-0969
Phone (912) 438-1003

Other practice location 1

401 E 4th Ave Ste B
Cordele, GA 31015-3620
Phone (229) 271-2180

Other names 1

  • Geraldine Jackson Anderson Former name

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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101118000320 GA Practitioner - Nurse Practitioner 4789870627 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2012
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Crisp Medical and Kidney Care, LLCGroup PAC ID 1456792001, 2 clinicians
Crisp Regional Hospital IncGroup PAC ID 5991616336, 65 clinicians

Practice addresses (Care Compare)

401 E 4TH Ave
Cordele, GA 31015-3620
Phone (229) 276-2180

902 N 7TH St
Cordele, GA 31015-3234
Phone (229) 276-3100

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN115669GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Crisp Medical and Kidney Care LLC CurrentSince Jul 1, 2025 Accepting new patients
Crisp Regional Hospital, Inc. PastSince Mar 27, 2022 Accepting new patients

Locations

401 E 4th Ave
#B
Cordele, GA 31015
Phone (229) 271-2180

902 N 7th St
Cordele, GA 31015
Phone (229) 276-3100

401 E 4th Ave
Cordele, GA 31015
Phone (229) 273-2050

Interoperability endpoints

  • Direct secure messaging: geraldine.anderson@crispregional.gadirect.net

Organizations & group practices 3

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 1

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": "1282521600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1674432000000",
    "number": "1770899262",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 60969",
            "city": "SAVANNAH",
            "state": "GA",
            "postal_code": "314200969",
            "telephone_number": "912-438-1003"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 E 4TH AVE",
            "city": "CORDELE",
            "state": "GA",
            "postal_code": "310153620",
            "telephone_number": "229-271-2180",
            "fax_number": "229-276-3638"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "401 E 4th Ave Ste B",
            "address_purpose": "LOCATION",
            "city": "Cordele",
            "state": "GA",
            "postal_code": "310153620",
            "country_code": "US",
            "telephone_number": "229-271-2180",
            "fax_number": "229-276-3638",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "GERALDINE",
        "middle_name": "J",
        "credential": "NP-C",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-23",
        "last_updated": "2023-01-23",
        "certification_date": "2023-01-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN115669",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "GERALDINE",
            "last_name": "ANDERSON",
            "middle_name": "JACKSON",
            "credential": "NP-C",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cordele, GA

Sources for this page

Verify at the official NPI Registry.