Individual provider Active NPI

Jenna Barnes Caron, AGPCNPBC

  • Adult Medicine Physician
  • Dalton, GA
National Provider Identifier
1891331575
Registry record updated Feb 14, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Adult Medicine PhysicianTaxonomy code 207QA0505X
License
RN290465 Issued in GA
Practice address
1107 Memorial Dr Ste 300
Dalton, GA 30720-8664
Phone
(706) 226-3139
NPI assigned
Nov 18, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Adult Medicine Physician 207QA0505X RN290465 GA Primary

Addresses

Primary practice location

1107 Memorial Dr Ste 300
Dalton, GA 30720-8664

Mailing address

1107 Memorial Dr Ste 300
Dalton, GA 30720-8664
Phone (706) 226-3139

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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200304001044 GA Practitioner - Nurse Practitioner 9133556111 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Phoenix Cardiovascular Institute LLCGroup PAC ID 7012378912, 5 clinicians

Practice addresses (Care Compare)

4616 Battlefield Pkwy
Ringgold, GA 30736-8004
Phone (706) 858-3988

Hospital & facility affiliations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
RN290465GAMDAdult Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hamilton Physician Group Inc CurrentSince Feb 1, 2026 Accepting new patients
Phoenix Cardiovascular Institute LLC CurrentSince Jan 10, 2024 Accepting new patients
Cornerstone Medical Group CurrentSince Dec 24, 2019 Accepting new patients
Advanced Diagnostic Imaging, PC Past Accepting new patients

Locations

1107 Memorial Dr
Ste 300
Dalton, GA 30720
Phone (706) 226-3139

914 Vista Dr
Dalton, GA 30721
Phone (706) 226-3139

4616 Battlefield Pkwy
Ringgold, GA 30736
Phone (706) 858-3988

132 Battlefield Crossing Ct
#C
Ringgold, GA 30736
Phone (706) 858-3988

Interoperability endpoints

  • FHIR API: https://fhir-api.fhirprod.aws.greenwayhealth.com/fhir/R4/2.16.840.1.113883.3.441.401

Organizations & group practices 4

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1574035200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1644796800000",
    "number": "1891331575",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE 300",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208664",
            "telephone_number": "706-226-3139"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 MEMORIAL DR STE 300",
            "city": "DALTON",
            "state": "GA",
            "postal_code": "307208664",
            "telephone_number": "706-226-3139"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARNES CARON",
        "first_name": "JENNA",
        "credential": "AGPCNPBC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-11-18",
        "last_updated": "2022-02-14",
        "certification_date": "2022-02-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207QA0505X",
            "taxonomy_group": "",
            "desc": "Family Medicine, Adult Medicine",
            "state": "GA",
            "license": "RN290465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dalton, GA

Sources for this page

Verify at the official NPI Registry.