Angela Jones, P.A.
Physician Assistant in Snellville, GA. Individual provider (NPI-1).
NPI number1790777217
StatusActive
Last updated in NPPESDec 9, 2016
Details
- NPI
- 1790777217
- Entity type
- Individual (NPI-1)
- Name
- Angela Jones
- Credential
- P.A.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 19, 2005
- Last updated
- Dec 9, 2016
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · PRACTITIONER - PHYSICIAN ASSISTANT
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility Yes · Hospice No
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 002210 | GA | Yes |
| 363AM0700X | Physician Assistant, Medical | 002210 | GA |
Practice location
1780 Presidential CirSuite 100
Snellville, GA 30078-5643
Phone 770-979-8100 · Fax 770-736-3023
Mailing address
3855 Pleasant Hill RdSuite 420
Duluth, GA 30096-1407
Phone 770-495-1955 · Fax 770-232-9961
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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