George R Jones, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

20-08848 Issued in SC

Practice address

107 Sunset Dr
Manning, SC 29102-2904

Phone

(803) 435-4447

Fax

(803) 435-9092

NPI assigned

Jan 11, 2007

Last updated

Jul 9, 2007By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in SC

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/16484/brand/1/csg/1/fhir/r4

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.

• Carolina Family Practice

  • Family Medicine Physician
  • Manning, SC
  • NPI 1891976619
  NPD (past) Authorized official
• Clarendon Health and Wellness Center

  • Family Medicine Physician
  • Manning, SC
  • NPI 1689194060
  NPD (past)

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

{
    "created_epoch": "1168473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1801946777",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "107 SUNSET DR",
            "city": "MANNING",
            "state": "SC",
            "postal_code": "291022904",
            "telephone_number": "803-435-4447",
            "fax_number": "803-435-9092"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "GEORGE",
        "middle_name": "R",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-11",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "SC",
            "license": "20-08848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "088489",
            "state": "SC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "GP1535",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Richard Jackson, DO
• Adri Johnson
• Kyndra Joy Johnson, LISW-CP
• Susanne P Johnson, FNP
• Cornelia Bradham Jones, APRN
• Shavonda Denise Jordan, MSW, PLCSW,LCASA
• Christopher Scott Joyner, PHARMD
• Darby Sexton Kelley, DMD
• Marlene M. Kelly, RN
• Arvilla Ann Kirven, LPC

• Family Medicine Physician in Manning, SC
• Providers in Manning, SC by specialty
• Family Medicine Physician in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.