BRANDI M JONES MD, PHD
NPI 1053547679
Internal Medicine in Lithonia, GA

Active since June 10, 2009PECOS EnrolledAccepts Medicare Assignment
92.26/100
CMS Quality Rating
2801 DEKALB MEDICAL PKWY, LITHONIA, GA 30058(404) 501-8236 Get Directions Write a Review

NPPES record last updated: December 20, 2023. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2021, Mar 22, 2019 (2 updates tracked since 2019).

About Brandi M Jones Md, Phd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRANDI M JONES MD, PHD (NPI 1053547679) is an individual internal medicine provider in Lithonia, Georgia, licensed in Georgia (96074) and active in the NPI registry since June 2009. She is enrolled in Medicare PECOS, is affiliated with Emory Hillandale Hospital, and is a graduate of University Of Louisville School Of Medicine (2018).

NPPES Registry Identity

NPI1053547679
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameBRANDI M JONESCredential: MD, PHD
Location Address2801 DEKALB MEDICAL PKWYLithonia, GA 30058-4996
Mailing Address6500 Aria Blvd Apt 141Sandy Springs, GA 30328-3668 · (317) 474-1743
Sole ProprietorNo
Medical School CMSUniversity Of Louisville School Of MedicineGraduated 2018
Enumeration DateJune 10, 2009
Last NPPES UpdateDecember 20, 20232 updates tracked since enumeration
NPPES CertifiedDecember 20, 2023
NPI 1053547679 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License Licensed in GA · 96074
Definition
A physician who provides long-term, comprehensive care in the office and the hospital, managing both common and complex illness of adolescents, adults and the elderly. Internists are trained in the diagnosis and treatment of cancer, infections and diseases affecting the heart, blood, kidneys, joints and digestive, respiratory and vascular systems. They are also trained in the essentials of primary care internal medicine, which incorporates an understanding of disease prevention, wellness, substance abuse, mental health and effective treatment of common problems of the eyes, ears, skin, nervous system and reproductive organs.
Also ListedPsychologist · Clinical Child & AdolescentTaxonomy 103TC2200X · License 99035264A (IN), 1577 (KY)
Also ListedPediatricsTaxonomy 208000000X · License 96074 (GA)
2801 DEKALB MEDICAL PKWY, Lithonia, GA 30058

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Brandi M Jones Md, Phd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID4183748627
PECOS Enrollment IDI20230810004569
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Areas of Expertise CMS Part B claims 2

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Initial hospital care with moderate level of medical decision making, if using time, at least 75 minutes 99223
Initial hospital inpatient care per day, typically 70 minutes, refers to the daily medical service provided to patients admitted to the hospital. This includes a comprehensive evaluation, diagnosis, treatment plan, and monitoring of your health condition. It ensures your well-being during your hospital stay.
78 services77 patients
Initial hospital care with straightforward or low-level medical decision making, if using time, at least 55 minutes 99222
Initial hospital inpatient care is a service where a healthcare provider spends about 50 minutes per day overseeing your care while you're admitted in the hospital. This includes reviewing your health status, planning your treatment, and ensuring your safety and comfort.
55 services52 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Emory Hillandale Hospital

Acute Care Hospitals · Lithonia, GA
1/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110226
Location2801 Dekalb Medical ParkwayLithonia, GA 30058 · De Kalb County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30058 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$130.64 typical visit price
range $56.84 – $172.43
Typical copayment $32.66 (range $14.21 – $43.10)
Most-billed visit code 99204
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Medicare Quality Performance CMS QPP · MIPS

Performance in the CMS Quality Payment Program: the MIPS final score across four weighted categories, and the individual quality measures reported to Medicare.

92.26/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality73.83
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Internal Medicine
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Hospitalist
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Nurse Practitioner (Family)
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Emergency Medicine
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Physician Assistant
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058
Respiratory Therapist, Registered (Critical Care)
2801 DEKALB MEDICAL PKWY
LITHONIA, GA 30058

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Brandi Jones's NPI number?

The NPI number for Brandi Jones is 1053547679. It was assigned to this individual provider in the NPPES registry on June 10, 2009.

Where is Brandi Jones located?

Brandi Jones practices at 2801 Dekalb Medical Pkwy, Lithonia, GA 30058. The listed phone number is (404) 501-8236.

What is Brandi Jones's specialty?

The primary specialty registered for this NPI is Internal Medicine with taxonomy code 207R00000X.

Is Brandi Jones enrolled in Medicare?

Yes. Brandi Jones is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Is Brandi Jones affiliated with any hospitals?

According to CMS data, Brandi Jones is affiliated with Emory Hillandale Hospital.

When was this NPI record last updated?

The NPPES record for Brandi Jones was last updated on December 20, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.