JACK DONALD JAMES M.D. NPI 1609845403

NPI Information

  • NPI: 1609845403
  • Provider Name: JACK DONALD JAMES, M.D.
  • Classification: Specialist - 174400000X
  • Entity Type: Individual
  • Address: 1380 MILSTEAD AVE NE
    SUITE B
    CONYERS, GA
    ZIP 30012
  • Phone: (770) 760-7007

Map and Directions

Get Directions

NPI Details

Jack Donald James, M.D. is a specialist in Conyers, GA. The provider is 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. Jack Donald James, M.D. NPI is 1609845403. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1380 MILSTEAD AVE NE
SUITE B
CONYERS, GA
ZIP 30012-864
Phone: (770) 760-7007
Fax: (770) 760-7611

The enumeration date for this NPI number is 3/15/2006 and was last updated on 7/8/2007.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1174400000XSpecialist015479GEORGIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1D45742MEDICARE UPINGEORGIA
200155284DMEDICAIDGEORGIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

NPI Synchronization or Removal

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.

Previous NPI
Next NPI