DR. ROBERT TYRE JONES IV PSY.D.
NPI 1225192479
Psychologist - Clinical in Conyers, GA

Active since December 21, 2006Opted out of Medicare · through Aug 27, 2026
1397 MANCHESTER DR NE, CONYERS, GA 30012(770) 483-6377(770) 929-0902 Get Directions Write a Review

NPPES record last updated: September 18, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Dr. Robert Tyre Jones Iv Psy.d. NPPES

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

DR. ROBERT TYRE JONES IV PSY.D. (NPI 1225192479) is an individual clinical provider in Conyers, Georgia, licensed in Georgia (PSY002625) and active in the NPI registry since December 2006. He has opted out of Medicare through August 27, 2026 and remains eligible to order and refer.

NPPES Registry Identity

NPI1225192479
Entity TypeIndividualMale
Primary Taxonomy103TC0700X
Provider Legal NameDR. ROBERT TYRE JONES IVCredential: PSY.D.
Location Address1397 MANCHESTER DR NEConyers, GA 30012-3882
Mailing Address1397 Manchester Dr NeConyers, GA 30012-3882 · (770) 483-6377 · Fax (770) 929-0902
Fax(770) 929-0902
Sole ProprietorYes
Enumeration DateDecember 21, 2006
Last NPPES UpdateSeptember 18, 2007
NPI 1225192479 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyPsychologist · ClinicalBehavioral Health & Social Service Providers
Taxonomy Code103TC0700X
License Licensed in GA · PSY002625
Definition

A psychologist who provides continuing and comprehensive mental and behavioral health care for individuals and families; consultation to agencies and communities; training, education and supervision; and research-based practice. It is a specialty in breadth -- one that is broadly inclusive of severe psychopathology -- and marked by comprehensiveness and integration of knowledge and skill from a broad array of disciplines within and outside of psychology proper. The scope of clinical psychology encompasses all ages, multiple diversities and varied systems.

Also ListedPsychologist · HealthTaxonomy 103TH0004X · License PSY002625 (GA)
1397 MANCHESTER DR NE, Conyers, GA 30012

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

Opted out of Medicare

Dr. Robert Tyre Jones Iv Psy.d. has filed a Medicare opt-out affidavit. Services are provided under private contract between the provider and the patient, and are not billed to or reimbursed by Medicare. The opt-out is on file from August 27, 2018 through August 27, 2026.

Opt-Out Effective DateAugust 27, 2018
Opt-Out In Effect ThroughAugust 27, 2026Opt-out affidavits renew automatically every two years unless cancelled
Eligible to Order & Refer Part B Labs & Imaging Durable Medical Equipment Home Health Agency Power Mobility DevicesAn opted-out provider can still order and refer for Medicare patients in the categories marked above, even though their own services are not covered.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30012 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
$172.43 typical visit price
range $56.84 – $172.43
Typical copayment $43.10 (range $14.21 – $43.10)
Most-billed visit code 99205
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.

Other Providers at the Same Location NPPES 7

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

Counselor (Professional)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychiatry & Neurology (Child & Adolescent Psychiatry)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychologist (Prescribing (Medical))
1397 MANCHESTER DR NE
CONYERS, GA 30012
Psychologist (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Nurse Practitioner (Psychiatric/Mental Health)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Nurse Practitioner (Psychiatric/Mental Health)
1397 MANCHESTER DR NE
CONYERS, GA 30012
Social Worker (Clinical)
1397 MANCHESTER DR NE
CONYERS, GA 30012

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 Robert Jones's NPI number?

The NPI number for Robert Jones is 1225192479. It was assigned to this individual provider in the NPPES registry on December 21, 2006.

Where is Robert Jones located?

Robert Jones practices at 1397 Manchester Dr NE, Conyers, GA 30012. The listed phone number is (770) 483-6377.

What is Robert Jones's specialty?

The primary specialty registered for this NPI is Psychologist, specializing in Clinical, with taxonomy code 103TC0700X.

Is Robert Jones enrolled in Medicare?

No. Robert Jones has opted out of Medicare through August 27, 2026. Care is provided under private contracts, and Medicare does not pay for services furnished by providers who have opted out. The provider remains eligible to order and refer services for Medicare patients.

When was this NPI record last updated?

The NPPES record for Robert Jones was last updated on September 18, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.