Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1609845403 Individual Practitioner Male Practitioner

Dr. Jack Donald James , MD

Specialist • Conyers, GA

Professional Overview & Biography Verified Profile Summary

Dr. Jack James, MD is a registered healthcare professional specializing in Specialist in Conyers, GA. Practice services are available at 1380 MILSTEAD AVE NE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

1380 Milstead Ave Ne
Suite B

Conyers, GA 300123864

Telephone 7707607007
Fax 7707607611
Associated Practice Facility / Clinic
🏢 Karim Shakoor, M.d.,p.c. Facility NPI 1700946258

Specialty Benchmarks & Practice Insights

Comparative analytics for Specialist in Conyers, GA

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 27.0 Yrs
State Avg: 36.1 Yrs
Regional Practice Density
8 Specialists

Practicing in Conyers, GA (979 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Specialist Primary Specialty

NUCC Taxonomy Code: 174400000X

State License GA 015479

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.

Additional State Medicaid & Healthcare Payer Identifiers

Medicaid State Provider ID
00155284D (GA)

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

4 Associated Practitioners
Dr. Thomas Lyons , MD

Obstetrics & Gynecology - Gynecology

NPI 1205943743

Doctor of Medicine (M.D.)

Dr. Holly Imlach , MD

Obstetrics & Gynecology - Gynecology

NPI 1639216450

Doctor of Medicine (M.D.)

Dr. Naseem Shakoor , MD

Internal Medicine

NPI 1821109463

Doctor of Medicine (M.D.)

Dr. Karim Shakoor , MD

Internal Medicine - Gastroenterology

NPI 1952412579

Doctor of Medicine (M.D.)

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active July 08, 2007

NPI status registered as active in NPPES database

📍
Updated Practice Location July 08, 2007

Registered at 1380 MILSTEAD AVE NE, SUITE B, CONYERS, GA 300123864 (Tel: 7707607007)

📍
Updated Business Mailing Address July 08, 2007

Registered at 1380 MILSTEAD AVE NE, SUITE B, CONYERS, GA 300123864 (Tel: 7707607007)

👤
Provider Name / Credentials Updated July 08, 2007

Recorded as JACK JAMES, M.D.

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) July 08, 2007

Specialist (License #015479 in GA)

🟢
Initial NPI Registration & Enumeration March 15, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609845403
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: March 15, 2006
Last Update: July 13, 2026
Sole Proprietor: No

Mailing Address

1380 Milstead Ave Ne, Suite B

Conyers, GA 300123864

Phone: 7707607007

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.