Active NPI
Alyssa Marie Jones
- Specialist
- Fayetteville, GA
National Provider Identifier
1851866693
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- ES007240
- Practice address
- 500 Lanier Ave W Ste 610
Fayetteville, GA 30214-7644 - Phone
- (404) 936-6744
- Fax
- (678) 846-5082
- NPI assigned
- Oct 8, 2018
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | ES007240 | GA | Primary |
Addresses
Primary practice location
500 Lanier Ave W Ste 610
Fayetteville, GA 30214-7644
Mailing address
500 Lanier Ave W Ste 610
Fayetteville, GA 30214-7644
Phone (404) 936-6744
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| ES007240 | GA | MD | Specialist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1538956800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538956800000",
"number": "1851866693",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "500 LANIER AVE W STE 610",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147644",
"telephone_number": "404-936-6744",
"fax_number": "678-846-5082"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 LANIER AVE W STE 610",
"city": "FAYETTEVILLE",
"state": "GA",
"postal_code": "302147644",
"telephone_number": "404-936-6744",
"fax_number": "678-846-5082"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "ALYSSA",
"middle_name": "MARIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-10-08",
"last_updated": "2018-10-08",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "GA",
"license": "ES007240",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.