CODI JONES NP
NPI 1376952259
Nurse Practitioner in Richmond Hill, GA
NPI Status: Active since August 05, 2014
Contact Information
3780 US HIGHWAY 17
RICHMOND HILL, GA
ZIP 31324
Phone: (912) 756-2292
Fax: (912) 756-2289
- Individual
- Female
- Nurse Practitioner
- PECOS Enrolled
- Opted-Out Medicare
About CODI JONES
This page provides the complete NPI Profile along with additional information for Codi Jones, a provider established in Richmond Hill, Georgia with a medical specialization in Nurse Practitioner. The healthcare provider is registered in the NPI registry with number 1376952259 assigned on August 2014. The practitioner's primary taxonomy code is 363L00000X with license number RN196846 (GA). The provider is registered as an individual and her NPI record was last updated 7 years ago.
- NPI
- 1376952259
- Provider Name
- CODI JONES NP
- Other Name
- CODI B GRAHAM
- Other Name Type
- Former Name (1)
- Gender
- Female
- Entity Type
- Individual
- Location Address
- 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324
- Location Phone
- (912) 756-2292
- Location Fax
- (912) 756-2289
- Mailing Address
- 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324
- Mailing Phone
- (912) 756-2292
- Mailing Fax
- (912) 756-2289
- Is Sole Proprietor?
- Yes
- Enumeration Date
- 08-05-2014
- Last Update Date
- 06-29-2018
- Code Navigator
A nurse practitioner (NP) like Codi Jones is an experienced registered nurse with a master’s or doctoral degree and advanced clinical training. Nurse practitioners can work in many different specialties including primary care, pediatrics, cardiology, emergency, women’s health, oncology or geriatrics. Nurse practitioners provide services like physical exams, order laboratory tests, manage diseases, write prescriptions, etc.
The provider doesn't accept Medicare and has signed an affidavit to be excluded from the Medicare program. If you are a Medicare beneficiary this means a provider can charge whatever they want for services rendered but must follow certain rules to do so. Codi Jones opted out of Medicare effective on 10-01-2024 until 10-01-2026. Opt out periods last for two years and cannot be terminated unless the provider is opting out for the very first time and the affidavit is terminated no later than 90 days after the opt out effective date. Opt-out affidavits might renew automatically renew every two years. The provider opted out of Medicare but is permitted to order and refer services to other healthcare providers.
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
Nurse Practitioner
- Taxonomy Code
- 363L00000X
- Type
- Physician Assistants & Advanced Practice Nursing Providers
- License No.
- RN196846
- License State
- GA
- Taxonomy Description
- (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.
Medicare Participation & PECOS Enrollment Status
Codi Jones 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
Opted-Out of Medicare? Yes
Opt-Out Effective Date: 10-01-2024
Opt-Out End Date: 10-01-2026
Eligible to Order and Refer? Yes
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
Areas of Expertise
The following services and procedures, recently provided to Medicare patients, illustrate the range of care this provider offers. This list reflects the variety of services available to all patients visiting the practice and is based on 2022 Medicare dataset. In general, the more frequently a provider treats specific conditions or performs particular procedures, the more experienced they become in addressing similar patient needs. The provider has delivered many of the services listed below to Medicare patients. Please note that this list does not include services provided to patients who are not covered by Medicare.
Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit
Established patient office or other outpatient visit, 20-29 minutes
Established patient office or other outpatient visit, 30-39 minutes
Insertion of needle into vein for collection of blood sample
Urinalysis, manual test
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.
This service was performed 28 times for 28 patientsThis 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.
This service was performed 62 times for 54 patientsThis 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.
This service was performed 48 times for 45 patientsThis procedure involves inserting a small needle into a vein, typically in your arm, to collect a blood sample. It's a quick and simple process to help diagnose or monitor health conditions. You may feel a small prick, but discomfort is minimal.
This service was performed 11 times for 11 patientsA urinalysis is a simple, non-invasive test that checks the urine for various elements such as sugar, protein, and signs of infection. It can help detect many common conditions, including kidney disease and diabetes. The manual test involves a lab technician examining a urine sample.
This service was performed 14 times for 14 patientsPhysician Visit Costs
The pricing information below displays the copayment minimum, maximum and average amount that patients under Medicare are charged when visiting this provider as a new or established patient. Please keep in mind that these prices are just for reference purposes, and the actual prices charged by the provider might be different.
For patients covered under private health plans the prices below are also useful as healthcare pricing for private insurance is usually established as a function of Medicare prices. Private insurance covered patients should check their individual plans to determine the exact pricing.
The prices below reflect the costs for new and established patients in the 31324 ZIP code area.
New Patients Visit Costs *
The most utilized procedure code for new patients office visits is 99203
- Average New Patient Price $83.23
- Minimum New Patient Price $53.31
- Maximum New Patient Price $164.04
- Average New Patient Copayment $20.8
- Minimum New Patient Copayment $13.32
- Maximum New Patient Copayment $41.01
Established Patients Visit Costs *
The most utilized procedure code for established patients office visits is 99214
- Average Established Patient Price $94.84
- Minimum Established Patient Price $16.68
- Maximum Established Patient Price $133.24
- Average Established Patient Copayment $23.71
- Minimum Established Patient Copayment $4.17
- Maximum Established Patient Copayment $33.31
* The physician office visit costs information is generated by statistical analysis of similar providers in the same geographical area. The pricing information above IS NOT the amount charged by this provider.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 7 | 6 | 9 | 5 | 2 | 2 | 5 | 9 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 14 | 6 | 18 | 5 | 4 | 2 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 1 + 4 + 6 + 1 + 8 + 5 + 4 + 2 + 1 + 0 + 24 = 61 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 70 - 61 = 9 | 9 | ||||||||
The NPI number 1376952259 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 8 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1780752550 | MPPG, INC. Organization | Surgery | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 350-8712 |
| 1881947802 | SOUTHCOAST MEDICAL GROUP, LLC Organization | Family Medicine | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 756-2292 |
| 1922498377 | CHATHAM ORTHOPAEDIC ASSOCIATES, PA Organization | Orthopaedic Surgery | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 355-6615 |
| 1245544519 | MPPG, INC. Organization | Obstetrics & Gynecology | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 756-2292 |
| 1801185442 | THOMAS CHRISTOPHER GARNER M.D. Individual | Internal Medicine | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 756-2292 |
| 1861683526 | BILLY DARREN PREUNINGER MD Individual | Obstetrics & Gynecology | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 756-2292 |
| 1649700378 | CLAYTON MORRIS MILLER PA-C Individual | Physician Assistant | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (912) 350-7020 |
| 1821896705 | ANDREA LUCHIA CATTER PA Individual | Physician Assistant | 3780 US HIGHWAY 17 RICHMOND HILL, GA 31324 (786) 234-1426 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1376952259, enumerated in the NPI registry as an "individual" on August 05, 2014
The provider is located at 3780 Us Highway 17 Richmond Hill, Ga 31324 and the phone number is (912) 756-2292
The provider's speciality is Nurse Practitioner with taxonomy code 363L00000X
Yes, as of June 20, 2025 the provider is registered in PECOS and is eligible to order health care services or supplies for Medicare patients. If you are a beneficiary 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.
Medicare beneficiaries should expect a typical cost of $83.23 with an average copayment of $20.8 for new patient appointments. Established patients should expect a typical charge of $94.84 and an average copayment of 23.71. Please review your insurance plan or contact the provider directly to determine your specific costs.
The most common procedures or services performed by this practitioner are: Annual wellness visit, includes a personalized prevention plan of service (pps), subsequent visit, Established patient office or other outpatient visit, 20-29 minutes, Established patient office or other outpatient visit, 30-39 minutes, Insertion of needle into vein for collection of blood sample and Urinalysis, manual test.
No, the provider signed an affidavit on October 01, 2024 to opt-out of the Medicare program. The provider is excluded from the Medicare program until October 01, 2026.
This NPI record was last updated on August 05, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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