TRACY KATHLEEN JONES FNP.C
NPI 1801858527
Nurse Practitioner in Douglasville, GA

Active since April 06, 2006PECOS EnrolledAccepts Medicare Assignment
92.93/100
CMS Quality Rating
6043 PRESTLEY MILL RD, SUITE D, DOUGLASVILLE, GA 30134(770) 739-9555(678) 741-2301 Get Directions Write a Review

NPPES record last updated: July 29, 2008. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Tracy Kathleen Jones Fnp.c NPPES

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

TRACY KATHLEEN JONES FNP.C (NPI 1801858527) is an individual nurse practitioner in Douglasville, Georgia, licensed in Georgia (RN112762) and active in the NPI registry since April 2006. She is enrolled in Medicare PECOS, is affiliated with Wellstar Douglas Medical Center, and is a graduate of Other (1999).

NPPES Registry Identity

NPI1801858527
Entity TypeIndividualFemale
Primary Taxonomy363L00000X
Provider Legal NameTRACY KATHLEEN JONESCredential: FNP.C
Location Address6043 PRESTLEY MILL RD, SUITE DDouglasville, GA 30134
Mailing Address1700 Hospital South Dr, Suite 502 Gastrointestinal Specialists Of Ga, PcAustcee, GA 30106 · (678) 741-5000
Fax(678) 741-2301
Sole ProprietorNo
Medical School CMSOtherGraduated 1999
Enumeration DateApril 6, 2006
Last NPPES UpdateJuly 29, 2008
NPI 1801858527 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Primary SpecialtyNurse PractitionerPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363L00000X
License Licensed in GA · RN112762
Definition
(1) A registered nurse provider with a graduate degree in nursing prepared for advanced practice involving independent and interdependent decision making and direct accountability for clinical judgment across the health care continuum or in a certified specialty. (2) A registered nurse who has completed additional training beyond basic nursing education and who provides primary health care services in accordance with state nurse practice laws or statutes. Tasks performed by nurse practitioners vary with practice requirements mandated by geographic, political, economic, and social factors. Nurse practitioner specialists include, but are not limited to, family nurse practitioners, gerontological nurse practitioners, pediatric nurse practitioners, obstetric-gynecologic nurse practitioners, and school nurse practitioners.
Also ListedRegistered NurseTaxonomy 163W00000X · License RN112762 (GA)
Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X · License 0340729 22 (GA)
6043 PRESTLEY MILL RD, Douglasville, GA 30134

Other Identifiers 8

Medicare UPINP28090GA
Medicare ID-Type UnspecifiedP00200512GA · Medicare Railroad
Medicaid000902327AGA
Medicare ID-Type Unspecified50BBDWCGA
OtherCEP12680Rn Provider Id
Medicaid651375375AGA
Medicaid300035305BGA
Other50BBDWCMedicare

Accepted Insurance

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

Tracy Kathleen Jones Fnp.c 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 ID3577665462
PECOS Enrollment IDI20070223000200
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 4

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 nursing facility care with straightforward level of medical decision making, per day, if using time, 20 minutes or more 99308
A follow-up nursing facility visit per day is a daily check-up service provided by healthcare professionals. It lasts around 15 minutes and involves assessing your health status, monitoring your recovery progress, and addressing any concerns you may have about your health or treatment.
721 services120 patients
Subsequent nursing facility care with moderate level of medical decision making, per day, if using time, at least 30 minutes 99309
A follow-up nursing facility visit per day is a daily check-in by a healthcare professional. This 25-minute visit typically involves monitoring your health progress, addressing any concerns, and adjusting treatment plans as necessary. It's a vital part of ensuring your ongoing wellbeing.
159 services70 patients
Nursing facility discharge day management, 30 minutes or less 99315
Nursing facility discharge day management involves organizing your transition from the nursing facility to your home or another facility. This service, taking 30 minutes or less, includes finalizing medical instructions, arranging follow-up care, and answering any questions.
53 services52 patients
Subsequent nursing facility care with straightforward level of medical decision making, per day, if using time, at least 10 minutes 99307
A follow-up nursing facility visit per day typically lasts about 10 minutes. This service involves a healthcare professional checking on your health status, answering any questions you may have, and monitoring your progress. This routine check ensures your recovery is on track and any concerns are addressed promptly.
16 services16 patients

Hospital Affiliations CMS Care Compare

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

Wellstar Douglas Medical Center

Acute Care Hospitals · Douglasville, GA
3/5 CMS rating
OwnershipVoluntary non-profit - Private
CMS Certification Number110184
Location8954 Hospital DriveDouglasville, GA 30134 · Douglas County
Emergency services Birthing friendly

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30134 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
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
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.

92.93/100
MIPS Final ScoreMerit-based Incentive Payment System · CMS Quality Payment Program
Scored through an Alternative Payment Model
Quality80.38
Promoting Interoperability100
Improvement Activities40

Other Providers at the Same Location NPPES 5

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

Internal Medicine (Infectious Disease)
6043 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 30134
Internal Medicine (Infectious Disease)
6043 PRESTLEY MILL RD, SUITE C
DOUGLASVILLE, GA 30134
Dentist (Oral and Maxillofacial Surgery)
6043 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 30134
Dentist (Oral and Maxillofacial Surgery)
6043 PRESTLEY MILL RD, SUITE A
DOUGLASVILLE, GA 30134
Physical Medicine & Rehabilitation
6043 PRESTLEY MILL RD
DOUGLASVILLE, GA 30134

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 Tracy Jones's NPI number?

The NPI number for Tracy Jones is 1801858527. It was assigned to this individual provider in the NPPES registry on April 6, 2006.

Where is Tracy Jones located?

Tracy Jones practices at 6043 Prestley Mill Rd Suite D, Douglasville, GA 30134. The listed phone number is (770) 739-9555.

What is Tracy Jones's specialty?

The primary specialty registered for this NPI is Nurse Practitioner with taxonomy code 363L00000X.

Is Tracy Jones enrolled in Medicare?

Yes. Tracy 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.

What insurance does Tracy 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 1 other insurer list Tracy 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 Tracy Jones affiliated with any hospitals?

According to CMS data, Tracy Jones is affiliated with Wellstar Douglas Medical Center.

When was this NPI record last updated?

The NPPES record for Tracy Jones was last updated on July 29, 2008. NPI Profile syncs with the weekly NPPES data releases published by CMS.