Vaughnette M Jones, MD

Primary specialty

Pediatrics PhysicianTaxonomy code 208000000X

License

065013 Issued in GA

Practice address

4905 Courtney Dr
Forest Park, GA 30297-1427

Phone

(404) 366-3636

Fax

(404) 362-0808

NPI assigned

Nov 14, 2006

Sex

Female

Sole proprietor

No

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: vaughnett.jones@daffodilpeds.gadirect.net

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.

• Daffodil Pediatrics and Family Medicine

  • Pediatrics Physician
  • Forest Park, GA
  • NPI 1851663124
  NPD (past)
• Westcare Villa Rica Pediatrics

  • Pediatrics Physician
  • Villa Rica, GA
  • NPI 1487742532
  NPD (past)

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

{
    "created_epoch": "1163462400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1591920000000",
    "number": "1811069909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4905 COURTNEY DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971427",
            "telephone_number": "404-366-3636",
            "fax_number": "404-362-0808"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4905 COURTNEY DR",
            "city": "FOREST PARK",
            "state": "GA",
            "postal_code": "302971427",
            "telephone_number": "404-366-3636",
            "fax_number": "404-362-0808"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1561 S Highway 27",
            "address_purpose": "LOCATION",
            "city": "Carrollton",
            "state": "GA",
            "postal_code": "301178927",
            "country_code": "US",
            "telephone_number": "404-890-7045",
            "fax_number": "404-378-9795",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "VAUGHNETTE",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-14",
        "last_updated": "2020-06-12",
        "certification_date": "2020-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "GA",
            "license": "065013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121817G",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003121817H",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Charles Jenkins III, APRN
• Amisa Jiwani, APRN
• Xavier Johnson, NCTMB, CMT, CMMT
• Michael Reu Johnston, D.C.
• Nadrieka Jones, APRN
• Abigail Kamishlian, M.D.
• Karen-Brandee Fibromyalgia Foundation, Inc
• Kayton Pharmacy LLC
• Kayton Pharmacy LLC
• Meka Robinzine Kennedy, D.C.

• Pediatrics Physician in Forest Park, GA
• Providers in Forest Park, GA by specialty
• Pediatrics Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.