Active NPI
Anique Tyler Jones
- Registered Nurse
- Snellville, GA
National Provider Identifier
1851086250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 269562
- Practice address
- 3437 Evermore Pkwy
Snellville, GA 30078-6306 - Phone
- (678) 630-9087
- NPI assigned
- Apr 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 269562 | GA | Primary |
Addresses
Primary practice location
3437 Evermore Pkwy
Snellville, GA 30078-6306
Mailing address
3437 Evermore Pkwy
Snellville, GA 30078-6306
Phone (470) 622-1227
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
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 269562 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Avant Behavioral Consultants Inc | Multi-Specialty | Current | Accepting new patients |
| Clearminds Behavioral Health LLC | Multi-Specialty | Past | Accepting new patients |
Locations
1810 Mulkey Rd
Ste 202
Austell, GA 30106
Phone (470) 593-8652
880 Marietta Hwy
Ste 630366
Roswell, GA 30075
Phone (573) 999-0193
Interoperability endpoints
- anique.jones.1@25899.direct.athenahealth.com
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1681084800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769731200000",
"number": "1851086250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3437 EVERMORE PKWY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786306",
"telephone_number": "470-622-1227",
"fax_number": "470-697-1729"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3437 EVERMORE PKWY",
"city": "SNELLVILLE",
"state": "GA",
"postal_code": "300786306",
"telephone_number": "678-630-9087"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ANIQUE",
"middle_name": "TYLER",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2023-04-10",
"last_updated": "2026-01-30",
"certification_date": "2026-01-30",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "GA",
"license": "269562",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snellville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2026; 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.