JAMES DONALD JR. VINSON (M.D.) – Anesthesiology Physician, NPI 1235100082

JAMES DONALD JR. VINSON (M.D.) is a healthcare provider. based in Conyers, Georgia. specializing in ANESTHESIOLOGY. They hold the professional credentials M.D.. They hold a License No. 035348 (GA). The NPI Number for JAMES DONALD JR. VINSON (M.D.) is 1235100082

Main info

Male
38 Years Of Experience
Accepts Medicare Assignment
Name
JAMES DONALD JR. VINSON (M.D.)
NPI
1235100082
Phone
(770) 388-7745
Address
1388B WELLBROOK CIR NE
Enumeration Date
30 January 2006
Last Update Date
16 August 2016

Doctor Profile

Medical School Name
MEDICAL COLLEGE OF GEORGIA SCHOOL OF MEDICINE
Secondary Phone
7705368109
Graduation Year
1988 (38 years ago)
PAC ID
0042112617
Group Practice PAC ID
4082061635
Professional Enrollment ID
I20081022000608
Address ID
GA305017443GA2324XOVER302
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience54
Completeness75
Years active:20State licenses:1Digital endpointsOther names

1,330 ANESTHESIOLOGY in GA

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Provider Addresses for JAMES DONALD JR. VINSON (M.D.)

  • Wellbrook Circle Northeast, Conyers, Rockdale County, Georgia, 30012, United States

    CONYERS, GA 300123872

    Phone: (770) 388-7745

    Fax: (770) 922-0526

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-02-05

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 5 Medicare enrollment records; no due dates published yet.

Enrollment records

5

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20081022000608IAnesthesiologyGATBD
I20170302001210IAnesthesiologyFLTBD
I20200828002574IAnesthesiologyINTBD
I20210202003267IAnesthesiologyMATBD
I20250205002829IAnesthesiologyNCTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 30012)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 4082061635View full group profile
NameSpecialtyState
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA
Certified Registered Nurse Anesthetist (Crna)GA

Reviews

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Frequently asked questions

What is JAMES DONALD JR. VINSON (M.D.)'s NPI number?
JAMES DONALD JR. VINSON (M.D.)'s NPI is 1235100082 — the number used across U.S. healthcare to identify this provider.
Is there an active status for JAMES DONALD JR. VINSON (M.D.)?
For scheduling context, JAMES DONALD JR. VINSON (M.D.) is shown as active in the registry.
How would a patient describe JAMES DONALD JR. VINSON (M.D.)'s focus?
For JAMES DONALD JR. VINSON (M.D.), the primary taxonomy reads as Anesthesiology Physician. Clinical services aligned with this taxonomy classification.
What locale is associated with JAMES DONALD JR. VINSON (M.D.)?
Directory geography for JAMES DONALD JR. VINSON (M.D.) centers on Conyers, Georgia.
When was this NPI issued?
Enumeration for JAMES DONALD JR. VINSON (M.D.) is noted as January 30, 2006 where the registry provides it.

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