Provider Demographics
NPI:1952391864
Name:JONES, ROBERT E (MD)
Entity Type:Individual
Prefix:
First Name:ROBERT
Middle Name:E
Last Name:JONES
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 MERCY BLVD
Mailing Address - Street 2:
Mailing Address - City:SAVANNAH
Mailing Address - State:GA
Mailing Address - Zip Code:31419-1753
Mailing Address - Country:US
Mailing Address - Phone:912-819-0500
Mailing Address - Fax:912-819-0501
Practice Address - Street 1:602 E 72ND ST
Practice Address - Street 2:
Practice Address - City:SAVANNAH
Practice Address - State:GA
Practice Address - Zip Code:31405-4913
Practice Address - Country:US
Practice Address - Phone:912-819-7878
Practice Address - Fax:912-819-7850
Is Sole Proprietor?:No
Enumeration Date:2005-10-24
Last Update Date:2016-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC20069208G00000X
GA032925208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GA0004251690Medicaid
GA202I336907Medicare PIN
GAP00358214OtherRAILROAD MEDICARE
GA000425169IMedicaid
GA000425169JMedicaid
GA06BDJFLMedicare PIN
GA000425169LMedicaid
GA000425169KMedicaid
GA000425169EMedicaid
F03899Medicare UPIN
GA000425169HMedicaid
GA000425169FMedicaid
SCF038999141Medicare PIN
SCP00819773OtherRAILROAD MEDICARE
01273392OtherAMERIGROUP
SCG32925Medicaid
SCF038997416Medicare PIN