Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 30 days.

JACK DONALD JAMES M.D.
NPI 1609845403
Specialist in Conyers, GA

Active since March 15, 2006
1380 MILSTEAD AVE NE, SUITE B, CONYERS, GA 30012(770) 760-7007(770) 760-7611 Get Directions Write a Review

NPPES record last updated: July 13, 2026. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Jack Donald James M.d. NPPES

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

JACK DONALD JAMES M.D. (NPI 1609845403) is an individual specialist in Conyers, Georgia, licensed in Georgia (015479) and active in the NPI registry since March 2006.

NPPES Registry Identity

NPI1609845403
Entity TypeIndividualMale
Primary Taxonomy174400000X
Provider Legal NameJACK DONALD JAMESCredential: M.D.
Location Address1380 MILSTEAD AVE NE, SUITE BConyers, GA 30012-3864
Mailing Address1380 Milstead Ave Ne, Suite BConyers, GA 30012-3864 · (770) 760-7007 · Fax (770) 760-7611
Fax(770) 760-7611
Sole ProprietorNo
Enumeration DateMarch 15, 2006
Last NPPES UpdateJuly 13, 2026
NPI 1609845403 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySpecialistOther Service Providers
Taxonomy Code174400000X
License Licensed in GA · 015479
Definition

An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

1380 MILSTEAD AVE NE, Conyers, GA 30012

Other Identifiers 1

Medicaid00155284DGA

Other Providers at the Same Location NPPES 12

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

Internal Medicine (Cardiovascular Disease)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012
Obstetrics & Gynecology (Gynecology)
1380 MILSTEAD AVE NE, SUITE E
CONYERS, GA 30012
Pediatrics (Pediatric Cardiology)
1380 MILSTEAD AVE NE, SUITE J
CONYERS, GA 30012
Obstetrics & Gynecology
1380 MILSTEAD AVE NE, SUITE F
CONYERS, GA 30012
Obstetrics & Gynecology (Obstetrics)
1380 MILSTEAD AVE NE
CONYERS, GA 30012
Internal Medicine (Gastroenterology)
1380 MILSTEAD AVE NE, SUITE C
CONYERS, GA 30012
Internal Medicine
1380 MILSTEAD AVE NE, SUITE-C
CONYERS, GA 30012
Internal Medicine
1380 MILSTEAD AVE NE, SUITE-C
CONYERS, GA 30012

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1609845403, enumerated as an "individual" on March 15, 2006.

The provider is located at 1380 MILSTEAD AVE NE SUITE B CONYERS, GA 30012 and the phone number is (770) 760-7007.

Specialist with taxonomy code 174400000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.