Individual provider Active NPI

Paula D. Jones, F.N.P.

  • Obstetrics & Gynecology Nurse Practitioner
  • Rincon, GA
National Provider Identifier
1790709756
Registry record updated Jan 2, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Obstetrics & Gynecology Nurse PractitionerTaxonomy code 363LX0001X
License
RN104371 Issued in GA
Practice address
241 Silverwood Commercial Dr
Rincon, GA 31326
Phone
(912) 826-8820
Fax
(912) 826-8805
NPI assigned
Jul 26, 2006
Last updated
Jan 2, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2019

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Nurse Practitioner 363L00000X RN104371 GA
Family Nurse Practitioner 363LF0000X RN104371 GA
Obstetrics & Gynecology Nurse Practitioner 363LX0001X RN104371 GA Primary

Addresses

Primary practice location

241 Silverwood Commercial Dr
Rincon, GA 31326

Mailing address

241 Silverwood Commercial Dr
Rincon, GA 31326-5164
Phone (912) 826-8820

Other identifiers 3

IdentifierTypeStateIssuer
50BBKMCOtherGAOLD MEDICARE PTAN - TERM'D 9/29/07 FOR NON-BILLING
930276241BMedicaidGA
930276241AMedicaidGA

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
I20060817000159 GA Practitioner - Nurse Practitioner 6204839012 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2005
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Savannah Multispecialty Associates LLCGroup PAC ID 3678836558, 129 clinicians

Practice addresses (Care Compare)

241 Silverwood Commercial Dr
Rincon, GA 31326-5164
Phone (912) 350-7020

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN104371GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
MPPG, Inc. CurrentSince May 21, 2010 Accepting new patients
Savannah Multispecialty Associates, LLC CurrentSince Feb 1, 2018 Accepting new patients

Locations

241 Silverwood Commercial Dr
Rincon, GA 31326
Phone (912) 826-8800

4700 Waters Ave
Savannah, GA 31404
Phone (912) 273-1100

4731 Waters Ave
Savannah, GA 31404
Phone (912) 350-4905

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

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": "1153872000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546387200000",
    "number": "1790709756",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "241 SILVERWOOD COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "313265164",
            "telephone_number": "912-826-8820",
            "fax_number": "912-826-8805"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "241 SILVERWOOD COMMERCIAL DR",
            "city": "RINCON",
            "state": "GA",
            "postal_code": "31326",
            "telephone_number": "912-826-8820",
            "fax_number": "912-826-8805"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "PAULA",
        "middle_name": "D.",
        "name_prefix": "Ms.",
        "credential": "F.N.P.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-26",
        "last_updated": "2019-01-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "GA",
            "license": "RN104371",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN104371",
            "primary": false
        },
        {
            "code": "363LX0001X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Obstetrics & Gynecology",
            "state": "GA",
            "license": "RN104371",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OLD MEDICARE PTAN - TERM'D 9/29/07 FOR NON-BILLING",
            "identifier": "50BBKMC",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930276241B",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "930276241A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Rincon, GA

Sources for this page

Verify at the official NPI Registry.