Individual provider Active NPI

Tracy Michelle Jones, RN, PMHNP

  • Psychiatric/Mental Health Nurse Practitioner
  • Cedartown, GA
National Provider Identifier
1932508744
Registry record updated Nov 12, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
RN204911 Issued in GA
Practice address
180 Water Oak Dr
Cedartown, GA 30125-2095
Phone
(770) 748-0030
Fax
(770) 749-4418
NPI assigned
Aug 18, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Registered Nurse 163W00000X RN204911 GA
Psychiatric/Mental Health Nurse Practitioner 363LP0808X RN204911 GA Primary

Addresses

Primary practice location

180 Water Oak Dr
Cedartown, GA 30125-2095

Mailing address

526 Wilson Rd
Cedartown, GA 30125-5732
Phone (770) 546-0548

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
I20180925002733 GA Practitioner - Nurse Practitioner 1355321522 Reassigns benefits to 1 organization

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
RN204911GAMDRegistered Nurse
RN112762GAMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Highland Rivers CSB CurrentSince Aug 15, 2018 Accepting new patients
Highland Rivers Community Service Board Current Accepting new patients
Highland Rivers CSB CurrentSince Aug 15, 2018 Accepting new patients
Highland Rivers CSB Past Accepting new patients

Locations

191 Lamar Haley Pkwy
Canton, GA 30114
Phone (770) 704-1600

1503 N Tibbs Rd
Dalton, GA 30720
Phone (706) 229-4507

1401 Applewood Dr
Ste 1
Dalton, GA 30720
Phone (706) 270-5003

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.

NPI Registry JSON

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

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1762905600000",
    "number": "1932508744",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "526 WILSON RD",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301255732",
            "telephone_number": "770-546-0548"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WATER OAK DR",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252095",
            "telephone_number": "770-748-0030",
            "fax_number": "770-749-4418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "TRACY",
        "middle_name": "MICHELLE",
        "credential": "RN, PMHNP",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2025-11-12",
        "certification_date": "2025-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "GA",
            "license": "RN204911",
            "primary": false
        },
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "GA",
            "license": "RN204911",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cedartown, GA

Sources for this page

Verify at the official NPI Registry.