| Travis R Jones, DPM | |
|
900 Towne Lake Pkwy Ste 320, Woodstock, GA 30189-1604 | |
| (770) 517-6636 | |
| (770) 517-6568 |
| Full Name | Travis R Jones |
|---|---|
| Gender | Male |
| Speciality | Podiatry |
| Experience | 17 Years |
| Location | 900 Towne Lake Pkwy Ste 320, Woodstock, Georgia |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1932338027 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 213ES0103X | Podiatrist - Foot & Ankle Surgery | SC006116 (Pennsylvania) | Secondary |
| 213E00000X | Podiatrist | POD001183 (Georgia) | Primary |
| Facility Name | Location | Facility Type |
|---|---|---|
| Northside Hospital Cherokee | Canton, GA | Hospital |
| Northside Hospital | Atlanta, GA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Northside Surgical Professional Services Llc | 8628253424 | 332 |
| Provider Name | Northside Surgical Professional Services Llc |
|---|---|
| Provider Type | Part B Supplier - Clinic/group Practice |
| Provider Identifiers | NPI Number: 1356630990 PECOS PAC ID: 8628253424 Enrollment ID: O20110420000598 |
| Mailing Address | Practice Location Address |
|---|---|
| Travis R Jones, DPM 684 Sixes Rd, Suite 130, Holly Springs, GA 30115 Ph: (770) 517-6636 | Travis R Jones, DPM 900 Towne Lake Pkwy Ste 320, Woodstock, GA 30189-1604 Ph: (770) 517-6636 |
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