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SHELBY JONES MD
NPI 1295361145
Internal Medicine in Moultrie, GA

Active since March 22, 2020PECOS EnrolledAccepts Medicare Assignment
1 MAGNOLIA CT, MOULTRIE, GA 31768(229) 890-1442(229) 890-0782 Get Directions Write a Review

NPPES record last updated: March 4, 2026. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Mar 4, 2026, Sep 4, 2025, Feb 13, 2025 and 2 more (5 updates tracked since 2020).

About Shelby Jones Md NPPES

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

SHELBY JONES MD (NPI 1295361145) is an individual internal medicine provider in Moultrie, Georgia, licensed in Georgia (96079) and active in the NPI registry since March 2020. She is enrolled in Medicare PECOS, is affiliated with Colquitt Regional Medical Center, and is a graduate of Other (2020).

NPPES Registry Identity

NPI1295361145
Entity TypeIndividualFemale
Primary Taxonomy207R00000X
Provider Legal NameSHELBY JONESCredential: MD
Location Address1 MAGNOLIA CTMoultrie, GA 31768-6764
Mailing AddressPo Box 2876Moultrie, GA 31776-2876 · (229) 890-1442
Phone(229) 890-1442
Fax(229) 890-0782
Sole ProprietorNo
Medical School CMSOtherGraduated 2020
Enumeration DateMarch 22, 2020
Last NPPES UpdateMarch 4, 20265 updates tracked since enumeration
NPPES CertifiedMarch 4, 2026
✔ NPI 1295361145 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207R00000X
License✔ Licensed in GA · 96079
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.
1 MAGNOLIA CT, Moultrie, GA 31768
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Alliant Health Plans, Inc., Ambetter from Absolute Total Care, Ambetter Health and more.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Shelby Jones Md 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 ID6002260882
PECOS Enrollment IDI20230927002937
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.

Medicare Billing Reassignments

4

Medicare enrollment records show Shelby Jones reassigns Medicare billing to 4 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Sterling Internal Medicine, LLC
Same address
Internal Medicine
1 MAGNOLIA CT
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 4 clinicians in this Medicare group
NPI 1104318864 (229) 890-1442
Colquitt Regional Hospitalists, LLC
0.1 mi
Hospitalist
3131 S MAIN ST
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 39 clinicians in this Medicare group
NPI 1851840912 (229) 985-3420
Colquitt Regional Medical Center
0.1 mi
General Acute Care Hospital
3131 SOUTH MAIN ST
Moultrie, GA 31768
  • Reassigned Medicare billing, Georgia enrollment
  • 74 clinicians in this Medicare group
NPI 1912099094 (229) 985-3420
Southland Hospitalist Group, LLC
24 mi
Emergency Medicine
915 GORDON AVE
Thomasville, GA 31792
  • Reassigned Medicare billing, Georgia enrollment
  • 46 clinicians in this Medicare group
NPI 1386910586 (229) 236-0831

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Areas of Expertise CMS Part B claims 5

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.

Subsequent hospital care with moderate levelof medical decision making, if using time, at least 50 minutes 99233
Follow-up hospital inpatient care per day typically involves a 35-minute check-up by your healthcare provider. This service includes monitoring your health progress, adjusting your treatment plan if needed, and answering any questions you may have about your condition or care.
416 services162 patients
Subsequent hospital care with moderate levelof medical decision making, if using time, at least 35 minutes 99232
Follow-up hospital inpatient care involves daily check-ups while you're admitted in the hospital. Typically, a healthcare provider spends about 25 minutes each day reviewing your condition, adjusting treatment if needed, and answering any questions you might have.
156 services71 patients
Hospital discharge day management, more than 30 minutes 99239
Hospital discharge day management over 30 minutes involves a detailed process to ensure a smooth transition from hospital to home. It includes final examinations, discussion of your hospital stay, post-discharge instructions, and coordinating follow-up care.
108 services103 patients
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.
69 services67 patients
Advance care planning, first 30 minutes 99497
Advance care planning is a process where you discuss your healthcare preferences with your doctor. This conversation, lasting up to 30 minutes, helps ensure your wishes are respected if you're unable to communicate them in the future. It's about your care, your way.
15 services14 patients

Hospital Affiliations CMS Care Compare

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

Colquitt Regional Medical Center

Acute Care Hospitals · Moultrie, GA
3/5 CMS rating
OwnershipGovernment - Hospital District or Authority
CMS Certification Number110105
Location3131 South Main StreetMoultrie, GA 31768 · Colquitt County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31768 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
$124.10 typical visit price
range $53.31 – $164.04
Typical copayment $31.02 (range $13.32 – $41.01)
Most-billed visit code 99204
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
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 16

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

LISA ANN YOUNG DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9769
STERLING INTERNAL MEDICINE, LLC
Internal Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 890-1442
DR. ALLISON TRESNER DO
Student in an Organized Health Care Education/Training Program
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
LEO ENRIQUE LARIOS DO
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9769
DR. KEITH WOODWARD GRAMLING JR. DO
Psychiatry & Neurology (Psychiatry)
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
DINA BADAWY
Student in an Organized Health Care Education/Training Program
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
JESSE NATHAN GREENE
Family Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 502-9753
WILLIAM JAMES HUFFMAN III MD
Internal Medicine
1 MAGNOLIA CT
MOULTRIE, GA 31768
Colquitt County (229) 890-1442

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 Shelby Jones's NPI number?

The NPI number for Shelby Jones is 1295361145. It was assigned to this individual provider in the NPPES registry on March 22, 2020.

Where is Shelby Jones located?

Shelby Jones practices at 1 Magnolia Ct, Moultrie, GA 31768. The listed phone number is (229) 890-1442.

What is Shelby Jones's specialty?

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

Is Shelby Jones enrolled in Medicare?

Yes. Shelby 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.

Which organizations bill Medicare for Shelby Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Shelby Jones reassigns Medicare benefits to 4 organizations: Sterling Internal Medicine, LLC (Moultrie, GA), Colquitt Regional Hospitalists, LLC (Moultrie, GA), Colquitt Regional Medical Center (Moultrie, GA) and Southland Hospitalist Group, LLC (Thomasville, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Shelby Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Shelby Jones accept?

Health plans from Alliant Health Plans, Inc., Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama and Ambetter of North Carolina and 2 other insurers list Shelby Jones as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

Is Shelby Jones affiliated with any hospitals?

According to CMS data, Shelby Jones is affiliated with Colquitt Regional Medical Center.

When was this NPI record last updated?

The NPPES record for Shelby Jones was last updated on March 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 months 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.