MIGUEL A JIMENEZ M.D.
NPI 1649204751
Orthopaedic Surgery - Orthopaedic Surgery of the Spine in Smyrna, GA
NPI Status: Active since July 11, 2006
Contact Information
3903 S COBB DR SE
SUITE 105
SMYRNA, GA
ZIP 30080
Phone: (678) 838-6600
Fax: (770) 438-1477
- Individual
- Male
- Years of Experience 33
- Orthopaedic Surgery
- Orthopaedic Surgery of the Spine
- May Accept Medicare Approved Payment
- PECOS Enrolled
About MIGUEL JIMENEZ
This page provides the complete NPI Profile along with additional information for Miguel Jimenez, a provider established in Smyrna, Georgia with a medical specialization in Orthopaedic Surgery, focusing in orthopaedic surgery of the spine and more than 33 years of experience. The healthcare provider is registered in the NPI registry with number 1649204751 assigned on July 2006. The practitioner's primary taxonomy code is 207XS0117X with license number 52966 (GA). The provider is registered as an individual and his NPI record was last updated 8 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization.
- NPI
- 1649204751
- Provider Name
- MIGUEL A JIMENEZ M.D.
- Gender
- Male
- Entity Type
- Individual
- Location Address
- 3903 S COBB DR SE SUITE 105 SMYRNA, GA 30080
- Location Phone
- (678) 838-6600
- Location Fax
- (770) 438-1477
- Mailing Address
- 3280 POINTE PKWY STE 2550 NORCROSS, GA 30092
- Mailing Phone
- (877) 877-7411
- Mailing Fax
- (770) 438-1477
- Medical School Name
- OTHER
- Graduation Year
- 1993
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 07-11-2006
- Last Update Date
- 10-31-2018
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Orthopaedic Surgery Orthopaedic Surgery of the Spine
- Taxonomy Code
- 207XS0117X
- Type
- Allopathic & Osteopathic Physicians
- License No.
- 52966
- License State
- GA
- Taxonomy Description
- Recognized by several state medical boards as a fellowship subspecialty program of orthopaedic surgery, orthopaedic surgeons of the spine deal with the evaluation and nonoperative and operative treatment of the full spectrum of primary spinal disorders including trauma, degenerative, deformity, tumor, and reconstructive.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
Additional Identifiers
The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.
| Identifier | Type / Code | Identifier State | Identifier Issuer |
|---|---|---|---|
| 615972752A | MEDICAID (05) | GA | |
| 615972752B | MEDICAID (05) | GA | |
| 52062173007 | OTHER (01) | GA | BCBS CARTERSVILLE ID |
| 52062173008 | OTHER (01) | GA | BCBS AUSTELL ID |
| 805775515A | MEDICAID (05) | GA |
Medicare Participation & PECOS Enrollment Status
Miguel Jimenez is registered with Medicare but maybe doesn't accept claims assignment. If you are a Medicare beneficiary call and confirm with the provider before seeking any services.
Miguel Jimenez is enrolled in PECOS and is eligible to order or refer health care services for Medicare patients. The provider is eligible to order or refer: Part B Clinical Laboratory and Imaging, Durable Medical Equipment (DME), a Home Health Agency (HHA) and Power Mobility Devices.
What is PECOS?
PECOS is the online Medicare enrollment management system or Provider, Enrollment, Chain and Ownership System. The PECOS system is a database of providers who have registered with CMS as providers or suppliers. PECOS is the primary source of information about verified Medicare professionals. Providers that want to participate in this program need to enroll in PECOS with their NPI number to avoid denied claims.
Is the provider registered in PECOS? Yes
PECOS PAC ID: 749225837
What is the PECOS Associate Control ID?
A PAC ID is a unique 10-digit number assigned to an individual or organization healthcare provider in PECOS. The PAC ID is used to link together all the provider information, like tax identification numbers and organizational names. A PAC ID can be connected to multiple Enrollment IDs if an individual or organization has enrolled in PECOS more than once.PECOS Enrollment ID: I20251021000339
What is the Provider Enrollment ID?
The Enrollment ID is a unique alphanumeric 15-digit code assigned to each new provider's PECOS enrollment application. The Enrollment ID is used to link together all the provider enrollment information like enrollment type, state, provider specialty, and reassignment of benefits.Accepts Medicare Assignment? Maybe
What does it mean "accepts medicare assignment"?
When a provider accepts Medicare assignment, the provider agrees to be paid directly by Medicare and to accept the payment amount approved by Medicare. Additionally, the provider agrees to not bill patients for more than the Medicare deductible and coinsurance amounts.
A provider who doesn't accept assignment may charge you up to 15% over the Medicare-approved amount. This is known as the limiting charge. You may have to pay this amount, or it may be covered by another insurer.Eligible to Order or Refer Part B Clinical Laboratory and Imaging: Yes
Eligible to Order or Refer Durable Medical Equipment (DMEPOS): Yes
Eligible to Order or Refer a Home Health Agency (HHA): Yes
Eligible to Order or Refer Power Mobility Devices: Yes
Reviews for MIGUEL A JIMENEZ M.D.
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NPI NPI Number Validation
How NPI Validation Works
The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.
To verify the NPI 1649204751, we treat the final digit (1) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 69. The final step is to find the difference between that total and the next multiple of ten (70 - 69 = 1).
Digit-by-digit view
Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.
Step 1: Double every other digit from the right
Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.
Step 2: Add all digits plus the NPI constant
Add the transformed values, the unchanged digits, and the constant 24.
Step 3: Find the amount needed to reach the next multiple of 10
The next multiple of ten after 69 is 70. The difference is the calculated check digit.
Other Providers at the Same Location
The following 20 providers are registered at the same or a nearby location.
SMYRNA, GA 30080
SMYRNA, GA 30080
SMYRNA, GA 30080
SMYRNA, GA 30080
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1649204751, enumerated as an "individual" on July 11, 2006.
The provider is located at 3903 S COBB DR SE SUITE 105 SMYRNA, GA 30080 and the phone number is (678) 838-6600.
Orthopaedic Surgery with taxonomy code 207XS0117X and a focus in Orthopaedic Surgery of the Spine.
The provider might be accepting Accepts: Medicare, Medicaid and Blue Cross Blue Shield. Please consult your insurance carrier or call the provider to verify.
