Individual provider Active NPI

Levie Gracelyn Jones, NP

  • Family Nurse Practitioner
  • Columbus, GA
National Provider Identifier
1912789298
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Nurse PractitionerTaxonomy code 363LF0000X
License
RN268945 Issued in GA
Practice address
710 Center St
Columbus, GA 31901-1527
Phone
(706) 649-6600
NPI assigned
Oct 19, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Neurological Surgery Physician 207T00000X RN268945 GA
Family Nurse Practitioner 363LF0000X RN268945 GA Primary

Addresses

Primary practice location

710 Center St
Columbus, GA 31901-1527

Mailing address

710 Center St
Columbus, GA 31901-1527

Other practice location 1

1538 13th Ave Ste B300
Columbus, GA 31901-2563
Phone (706) 321-9300

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
I20240725002426 GA Practitioner - Nurse Practitioner 9739625757 Reassigns benefits to 4 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2023
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

1800 10TH Ave
Columbus, GA 31901-1529
Phone (706) 571-1120

710 Ctr St
Columbus, GA 31901-1527
Phone (706) 571-1648

Hospital & facility affiliations

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN268945GAMDFamily Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Emergency Group of Columbus, LLC CurrentSince Apr 5, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Mar 1, 2025 Accepting new patients
Heritage Physician Services, LLC CurrentSince Apr 5, 2025 Accepting new patients

Locations

710 Center St
Columbus, GA 31901
Phone (706) 571-1000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

1538 13th Ave
Ste B300
Columbus, GA 31901

100 Frist Ct
Columbus, GA 31909
Phone (706) 494-2100

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 5

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": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1912789298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011527"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "710 CENTER ST",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011527",
            "telephone_number": "706-649-6600"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1538 13th Ave Ste B300",
            "address_purpose": "LOCATION",
            "city": "Columbus",
            "state": "GA",
            "postal_code": "319012563",
            "country_code": "US",
            "telephone_number": "706-321-9300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "LEVIE",
        "middle_name": "GRACELYN",
        "name_prefix": "Mrs.",
        "credential": "NP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207T00000X",
            "taxonomy_group": "",
            "desc": "Neurological Surgery",
            "state": "GA",
            "license": "RN268945",
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": "GA",
            "license": "RN268945",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.