Active NPI
Michael Todd Jones, MD
- Diagnostic Radiology Physician
- Macon, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Diagnostic Radiology Physician
- License
- 38264
- Practice address
- 770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516 - Phone
- (478) 743-1458
- Fax
- (478) 755-1332
- NPI assigned
- Oct 24, 2005
- Sex
- Male
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Diagnostic Radiology Physician | 2085R0202X | 38264 | GA | Primary |
Addresses
Primary practice location
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Mailing address
770 Pine St Ste 290
Attn: Radiology Department
Macon, GA 31201-7516
Phone (478) 743-1458
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000903911A | Medicaid | GA |
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: Yes
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20031230000662 | GA | Practitioner - Diagnostic Radiology | 7214835065 | Reassigns benefits to 3 organizations |
Care Compare profile
Medicare Care Compare- Specialty
- Diagnostic Radiology
- Education
- Emory University School of Medicine, 1992
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1000 Cowles Clinic Way
Pine Building
Greensboro, GA 30642-5285
Phone (706) 454-2660
1960 Hwy 247 Connector
Byron, GA 31008-5663
Phone (478) 654-2000
215 Sheraton Blvd
Suite 2
Macon, GA 31210-1359
Phone (478) 757-8868
350 Hospital Dr
Macon, GA 31217-3838
Phone (478) 765-7000
400 Charter Blvd
Macon, GA 31210-4831
Phone (478) 757-8200
770 Pine St
Macon, GA 31201-7519
Phone (478) 633-1819
770 Pine St
Suite 290
Macon, GA 31201-7516
Phone (478) 743-1458
777 Hemlock St
Macon, GA 31201-2102
Phone (478) 633-1235
821 N Cobb St
Milledgeville, GA 31061-2343
Phone (478) 776-4000
Hospital & facility affiliations
- Atrium Health Navicent the Medical Center
- Coliseum Medical Centers, LLC, Dba
- Navicent Health Baldwin
- Atrium Health Navicent Peach
- Piedmont Macon North Hospital
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Varicose vein removal | 17 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 38264 | GA | MD | Diagnostic Radiology Physician |
| 43599 | GA | MD | Diagnostic Radiology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Radiology Associates of Macon PC | Diagnostic Radiology | Current | Accepting new patients |
| Georgia Magnetic Imaging Center LTD | Diagnostic Radiology | Current | Accepting new patients |
| Central Georgia MRI LLC | Diagnostic Radiology | Current | Accepting new patients |
| Medical Center Radiologists Inc | Diagnostic Radiology | Past | Accepting new patients |
Locations
770 Pine St
Ste L15
Macon, GA 31201
Phone (478) 633-1819
770 Pine St
Ste 290
Macon, GA 31201
Phone (478) 743-1458
Interoperability endpoints
- https://fhir.meditouchehr.com/api/fhir/r4/
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.
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1114908522
Diagnostic Radiology, GA
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1114900545
Diagnostic Radiology, GA
-
- Diagnostic Radiology Physician
- Macon, GA
- NPI 1679563035
Diagnostic Radiology, GA
-
- Diagnostic Radiology Physician
- Norfolk, VA
- NPI 1720079254
Diagnostic Radiology
Hospital & facility affiliations 5
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Macon, GA
- NPI 1043270564
Hospital
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1130112000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1404345600000",
"number": "1962492736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458",
"fax_number": "478-755-1332"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "770 PINE ST STE 290",
"address_2": "ATTN: RADIOLOGY DEPARTMENT",
"city": "MACON",
"state": "GA",
"postal_code": "312017516",
"telephone_number": "478-743-1458",
"fax_number": "478-755-1332"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "MICHAEL",
"middle_name": "TODD",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-10-24",
"last_updated": "2014-07-03",
"status": "A"
},
"taxonomies": [
{
"code": "2085R0202X",
"taxonomy_group": "",
"desc": "Radiology, Diagnostic Radiology",
"state": "GA",
"license": "38264",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "000903911A",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Macon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2014; 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.