Tekisha Jones, FNP

Primary specialty

Primary Care Nurse PractitionerTaxonomy code 363LP2300X

License

F09200883 Issued in GA

Practice address

18 Luckie St Ste F
Baxley, GA 31513-0358

Phone

(912) 367-1362

NPI assigned

Dec 2, 2020

Last updated

Dec 2, 2020By the provider in NPPES

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

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

Specialty

Nurse Practitioner

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

East Georgia Healthcare Center, Inc.Group PAC ID 0547228686, 17 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Evans Memorial Hospital Hospital, Claxton, GA, CCN 110142

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: tekisha.jones.1@11298.direct.athenahealth.com

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.

• East Georgia Healthcare Center, Inc.

  dba Swainsboro Elementary School

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
  • NPI 1194569228
  Medicare reassignment Care Compare group NPD
• Tonya Fowler Fordham, D.O.

  • Family Medicine Physician
  • Baxley, GA
  • NPI 1861462053
  Medicare reassignment
• East Georgia Healthcare Center Inc

  • Federally Qualified Health Center (FQHC)
  • Stillmore, GA
  • NPI 1528658911
  NPD
• East Georgia Healthcare Center, Inc.

  dba Emanuel County Institute

  • Federally Qualified Health Center (FQHC)
  • Twin City, GA
  • NPI 1568330652
  NPD
• East Georgia Healthcare Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Swainsboro, GA
  • NPI 1831144971
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Evans Memorial Hospital, Inc.

  • General Acute Care Hospital
  • Claxton, GA
  • NPI 1730110826
  Care Compare affiliation

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

{
    "created_epoch": "1606867200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606867200000",
    "number": "1881299469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18 LUCKIE ST STE F",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130358",
            "telephone_number": "912-367-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 LUCKIE ST STE F",
            "city": "BAXLEY",
            "state": "GA",
            "postal_code": "315130358",
            "telephone_number": "912-367-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TEKISHA",
        "credential": "FNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-12-02",
        "last_updated": "2020-12-02",
        "certification_date": "2020-12-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP2300X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Primary Care",
            "state": "GA",
            "license": "F09200883",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mattie Jackson
• Evelyn J Johnson, M.D.
• Jeremy Braxton Johnson, RD, LD
• Carlie R Jones, PA-C
• Carolyn J Jones, FNP-BC
• Miya Kennedy-White, LPC
• Kevin O. Keown, M.D.
• Ernest Buford Kesler Jr., EDD
• Andrew Laves
• Dora Nayibe Laves, CMI

• Primary Care Nurse Practitioner in Baxley, GA
• Providers in Baxley, GA by specialty
• Primary Care Nurse Practitioner in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2020; 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.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.