Provider Demographics
NPI:1497773279
Name:SIMPSON-JONES, SHERYL MONE (MD)
Entity Type:Individual
Prefix:
First Name:SHERYL
Middle Name:MONE
Last Name:SIMPSON-JONES
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 EAGLE SPRING DR
Mailing Address - Street 2:SUITE 200
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-6486
Mailing Address - Country:US
Mailing Address - Phone:770-474-0064
Mailing Address - Fax:770-474-2998
Practice Address - Street 1:115 EAGLE SPRING DR
Practice Address - Street 2:SUITE 200
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-6486
Practice Address - Country:US
Practice Address - Phone:770-474-0064
Practice Address - Fax:770-474-2998
Is Sole Proprietor?:No
Enumeration Date:2006-07-18
Last Update Date:2010-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
GA036615207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA00659799FMedicaid
GA16BDGFCMedicare ID - Type Unspecified
GA00659799FMedicaid