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SUSAN LEIGH JONES M.D.
NPI 1801896212
Family Medicine in Eatonton, GA

Active since July 28, 2005PECOS EnrolledAccepts Medicare Assignment
952 LAKE OCONEE PKWY, EATONTON, GA 31024(706) 485-0880(706) 485-0846 Get Directions Write a Review

NPPES record last updated: May 5, 2010. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Susan Leigh Jones M.d. NPPES

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

SUSAN LEIGH JONES M.D. (NPI 1801896212) is an individual family medicine provider in Eatonton, Georgia, licensed in Georgia (031268) and active in the NPI registry since July 2005. She is enrolled in Medicare PECOS, is affiliated with Navicent Health Baldwin, and is a graduate of Mercer University School Of Medicine (1986).

NPPES Registry Identity

NPI1801896212
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSUSAN LEIGH JONESCredential: M.D.
Location Address952 LAKE OCONEE PKWYEatonton, GA 31024-5801
Mailing Address952 Lake Oconee PkwyEatonton, GA 31024-5801 · (706) 485-0880 · Fax (706) 485-0846
Phone(706) 485-0880
Fax(706) 485-0846
Sole ProprietorNo
Medical School CMSMercer University School Of MedicineGraduated 1986
Enumeration DateJuly 28, 2005
Last NPPES UpdateMay 5, 2010
✔ NPI 1801896212 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 031268
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
952 LAKE OCONEE PKWY, Eatonton, GA 31024
Open in Google Maps ↗

Other Identifiers 4

Medicare PIN08BBRWF
Medicare UPINE81359
Medicare ID-Type Unspecified08BBRWF
Medicaid000398736CGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Absolute Total Care, Ambetter Health, Ambetter of Alabama 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

Susan Leigh Jones M.d. 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 ID9032158985
PECOS Enrollment IDI20050429000180
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 Reassignment

Medicare enrollment records show Susan Jones reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Athens Family Medicine LLC
38 mi
Family Medicine
300 HAWTHORNE LN
Athens, GA 30606
  • Reassigned Medicare billing, Georgia enrollment
  • 13 clinicians in this Medicare group
NPI 1427418391 (706) 353-7610

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 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.

Established patient office or other outpatient visit with moderate level of decision making, if using time, 30 minutes or more 99214
This is a routine check-up for patients who have previously visited our clinic. It involves a comprehensive review of your health and any ongoing treatments. The consultation lasts between 30-39 minutes, allowing enough time to discuss any concerns.
245 services75 patients
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit G0439
An annual wellness visit is a yearly appointment with your primary care provider to create or update a personalized prevention plan. This plan helps prevent illness based on your current health and risk factors. It's a subsequent visit, meaning it follows an initial assessment.
51 services51 patients
Annual depression screening, 5 to 15 minutes G0444
An annual depression screening is a short, routine evaluation to check for signs of depression. It involves answering a series of questions about your feelings, thoughts, and behaviors. The process takes about 15 minutes and helps detect depression early for better management.
43 services43 patients
Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213
This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.
15 services12 patients

Hospital Affiliations CMS Care Compare 3

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

Navicent Health Baldwin

Acute Care Hospitals · Milledgeville, GA
1/5 CMS rating
OwnershipProprietary
CMS Certification Number110150
Location821 North Cobb StreetMilledgeville, GA 31061 · Baldwin County
Emergency services Birthing friendly

Putnam General Hospital

Critical Access Hospitals · Eatonton, GA
OwnershipGovernment - Hospital District or Authority
CMS Certification Number111313
Location101 Lake Oconee ParkwayEatonton, GA 31024 · Putnam County
Emergency services

St. Mary's Good Samaritan Hospital

Critical Access Hospitals · Greensboro, GA
4/5 CMS rating
OwnershipProprietary
CMS Certification Number111329
Location5401 Lake Oconee ParkwayGreensboro, GA 30642 · Greene County
Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31024 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
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.

Referred Medical Equipment & Supplies CMS DME claims

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Blood glucose test or reagent strips for home blood glucose monitor, per 50 strips A4253
DME-Other DME · category DE017N
2 suppliers17 claims44 services$6.00 avg. paid by Medicare
Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES

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

SUSAN LEIGH JONES MD LLC
Family Medicine
952 LAKE OCONEE PKWY
EATONTON, GA 31024
Putnam County (706) 485-0880

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 Susan Jones's NPI number?

The NPI number for Susan Jones is 1801896212. It was assigned to this individual provider in the NPPES registry on July 28, 2005.

Where is Susan Jones located?

Susan Jones practices at 952 Lake Oconee Pkwy, Eatonton, GA 31024. The listed phone number is (706) 485-0880.

What is Susan Jones's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Susan Jones enrolled in Medicare?

Yes. Susan 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 organization bills Medicare for Susan Jones's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Susan Jones reassigns Medicare benefits to Athens Family Medicine LLC (Athens, GA). The 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 Susan Jones's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Susan Jones accept?

Health plans from Ambetter Health, Ambetter from Absolute Total Care, Ambetter of Alabama, Ambetter of North Carolina and Ambetter of Tennessee and 2 other insurers list Susan 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 Susan Jones affiliated with any hospitals?

According to CMS data, Susan Jones is affiliated with Navicent Health Baldwin, Putnam General Hospital and St. Mary's Good Samaritan Hospital.

When was this NPI record last updated?

The NPPES record for Susan Jones was last updated on May 5, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.