2026 NPPES data Nephrology Physician NPI 1427031210 MD
Verify on CMS →

EDREA JONES, MD

Nephrology Physician in ATLANTA, Georgia. CMS National Plan and Provider Enumeration System profile including specialty classification, practice address, and Medicare prescribing data when reported.

Federal data — no proprietary rating. PlainDoctor publishes the actual CMS NPPES and Medicare records — NPI registration, specialty, practice location, and prescribing data — without a composite score or editorial opinion on top. Every field traces to a federal source.
Prescribing volume
2K
Medicare Part D claims · 255 beneficiaries · Nephrology Physician avg: 1K
Generic prescribing
87%
generic claims · 13% brand-name · higher generic rates reduce patient out-of-pocket costs
MIPS score
89.8928/100
▲ 7 pts above national avg 83.1 · [object Object]
Industry payments
$386.45
27 payments · CMS Open Payments (Sunshine Act)

What the federal data shows

EDREA JONES, MD reported a CMS MIPS final score of 89.8928/100 — above the 83.1 national average — and filed 1,532 Medicare Part D claims in 2023.

89.8928/100
MIPS score · +7 vs avg
2K
Part D claims, 2023
87%
generic prescribing
Likely
board-certified (heuristic)

Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) — no proprietary rating or editorial opinion is applied.

EDREA JONES, MD's MIPS score vs every scored U.S. clinician

CMS Merit-based Incentive Payment System (MIPS) final score, 2023 — the federal quality measure

90 Top 42% higher than 58% of 477,587 scored providers

0–10: 8,684 scored providers (2%). Below this entry. 10–20: 3,008 scored providers (1%). Below this entry. 20–30: 3,069 scored providers (1%). Below this entry. 30–40: 2,746 scored providers (1%). Below this entry. 40–50: 2,928 scored providers (1%). Below this entry. 50–60: 5,882 scored providers (1%). Below this entry. 60–70: 13,906 scored providers (3%). Below this entry. 70–80: 118,074 scored providers (25%). Below this entry. 80–90: 129,887 scored providers (27%). This entry sits in this band. 90–100: 189,403 scored providers (40%). Above this entry. This provider 0 100 every MIPS-scored clinician, bucketed by value

Each bar is a band; taller bars hold more scored providers. The dashed line + filled bar mark this entry. Hover or tap any bar for its full count, share, and where it sits relative to this entry.

Source CMS Merit-based Incentive Payment System (MIPS) · 2023

Board certification likely (heuristic — not verified)

EDREA JONES, MD practices in an ABMS-board-eligible specialty and shows active CMS Medicare participation + MIPS quality reporting + 1 hospital affiliation — signals consistent with board-certified status. For verified board certification, see CertificationMatters.org (the official ABMS public lookup).

What does the federal data show about EDREA JONES, MD?

High performer (top quartile)

NPI registry status

Active

Issued 11/25/2005

NPI 1427031210

Primary specialty

Nephrology Physician

Mid-sized

10,534 US NPIs in this specialty

Medicare Part D claims

1,532 5% vs specialty avg

2023 prescription claims

Specialty avg: 1,454

MIPS final score

89.8928/100 6.7928% pts

Exceptional band

vs 83.1 national avg

Specialty distribution in Georgia

How Nephrology Physician compares to other specialties among Georgia providers

Georgia providers

Nephrology Physician share within Georgia

1. Nephrology Physician42%2. Internal medicine21%3. Family medicine17%4. Surgical12%5. Pediatric8%
Nephrology Physician share within Georgia

Medicare quality performance — MIPS

EDREA JONES, MD's 2023 MIPS final score plotted against the Nephrology Physician national average

High performer (top quartile)
MIPS Final Score
89.8928/100
vs 83.1 national avg · 2023 performance year

MIPS final score (Nephrology Physician) — 89.8928/100 vs national avg 83.1

0%100%National avg83%89.9%
MIPS final score (Nephrology Physician) — 89.8928/100 vs national avg 83.1

The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.

Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).

EDREA JONES, MD is a Nephrology Physician provider practicing in ATLANTA, Georgia, according to the CMS National Plan and Provider Enumeration System (NPPES). Credentials: MD. NPI: 1427031210. This profile includes practice location, specialty classification, and organizational affiliations from the CMS provider registry. Provider information is self-reported to CMS and updated monthly.

EDREA JONES, MD appears in the CMS NPPES registry as a Nephrology Physician provider holding MD credentials at 275 COLLIER RD NW, ATLANTA, GA, 30309, with a listed phone of (404) 352-3300. NPI 1427031210 was issued on 11/25/2005. Because NPPES data is self-reported by the provider and refreshed monthly, the address, phone, and specialty reflect what JONES most recently submitted to CMS rather than a vetted directory listing, which is why patients should always confirm the practice is still at this location before scheduling.

Medicare Part D records for calendar year 2023 show 1,532 prescription claims written by this provider, covering 255 Medicare beneficiaries and totaling roughly $202K in drug spend, split 13% brand-name and 87% generic by claim count. These figures capture only Medicare Part D — commercial insurance, Medicaid, and cash-pay prescriptions are not included, and any drug-beneficiary cell under 11 is suppressed by CMS for patient privacy. On the CMS Merit-based Incentive Payment System, this provider earned a Final Score of 89.8928/100 for the 2023 performance year (Quality 79.7855), compared with the national average of 83.1.

Nephrology Physician is a mid-sized specialty nationwide, with 10,534 enrolled providers across 55 states and an average of 1,454 Part D claims per prescriber, so the context for interpreting these metrics differs meaningfully from a primary-care baseline. Important: PlainDoctor is a directory of publicly available government data, not medical advice, a malpractice database, or a quality rating. Inclusion here does not imply a recommendation, and absence of complaints or sanctions on this page does not mean none exist — always verify credentials through the NPPES NPI Registry, your state medical board, and the ABMS or AOA before making healthcare decisions.

Practice Address

275 COLLIER RD NW
ATLANTA, GA 30309

Provider Details

NPI 1427031210
Specialty Nephrology Physician
Credentials MD
Gender Female
NPI Issued 11/25/2005

CMS Quality Score (MIPS)

Merit-based Incentive Payment System (MIPS) scores from CMS, 2023 performance year.

89.8928
Final Score
Avg: 83.1
79.7855
Quality
100
Promoting Interoperability

Reporting: Alternative Payment Model

Hospital and facility affiliations

Facilities where EDREA JONES, MD bills Medicare from. Star ratings (1-5) are CMS Hospital Compare's "Hospital overall rating" — a composite of mortality, readmission, patient experience, safety, timely care, and efficient use of medical imaging measures. Source: CMS Care Compare.

NEPHROLOGY CONSULTANTS OF GEORGIA, P.C.
ATLANTA, GA

Affiliations sourced from CMS Doctors and Clinicians National Downloadable File; hospital ratings from CMS Hospital General Information dataset (cross-referenced by facility name + state).

Industry payments received (2024) — CMS Open Payments transparency data

The federal Physician Payments Sunshine Act (part of the Affordable Care Act) requires drug and medical-device manufacturers + group purchasing organizations to publicly report payments and other transfers of value to physicians and teaching hospitals. The data below covers 2024 for EDREA JONES, MD. Source: openpaymentsdata.cms.gov.

Total received

$386

Largest payer

Travere Therapeutics, Inc.

Most common payment type

Food and Beverage

Industry payments are not necessarily indicators of bias — they include research funding, consulting fees for evidence-based work, royalties for inventions, food at conferences, and similar items. The disclosure exists for transparency. Read our methodology for how we interpret this data.

Brand vs generic prescribing mix · Typical

EDREA JONES, MD — brand share 13.0%
Specialty average (est.)

13% brand-name claims vs 87% generic, on 1,532 2023 Medicare Part D claims.

The federal Medicare Part D Generic Dispensing Rate national benchmark sits near 90% generic / 10% brand for primary-care prescribers, per CMS Office of the Actuary 2024 estimates. Higher brand share is common in specialty prescribing where generic equivalents are not available.

Medicare Part D Prescribing Data

CMS Medicare Part D prescriber-level data for calendar year 2023.

1,532
Total Claims
$202K
Total Drug Cost
255
Medicare Beneficiaries

Prescribing Breakdown

30-Day Fills
3,757
Total Day Supply
109,983
Brand vs Generic
13% brand / 87% generic
Brand Drug Cost
$155K
Generic Drug Cost
$46K

Patient Demographics

Average Patient Age
71.6 years
Avg HCC Risk Score
3.27
Gender Split
60% female / 40% male
Age Distribution
<65: 47, 65-74: 92, 75-84: 95, 85+: 21

Top Prescribed Drugs (Medicare Part D)

Top drugs by claim count for calendar year 2023. Based on Medicare Part D data only.

Drug Claims
Allopurinol
182
Amlodipine Besylate
133
Prosol
Parenteral Amino Acid 20% No.1
73
Lisinopril
68
Olmesartan Medoxomil
65
Telmisartan
54
Nifedipine Er
Nifedipine
49
Valsartan
48
Hydrochlorothiazide
45
Hydralazine Hcl
44

* Counts below 11 are suppressed by CMS for patient privacy. Generic names shown where available from CMS Part D data.

Nephrology Physician Overview

How EDREA JONES, MD fits within the Nephrology Physician landscape nationally.

10,534
Nephrology Physician Providers in US
55
States with Nephrology Physician
1,454
Avg Claims per Provider

EDREA JONES, MD's 1,532 claims are above the specialty average of 1,454.

Nearby Nephrology Physician Providers in Georgia

Other clinicians with the same primary specialty enrolled in Georgia, drawn from the same CMS NPPES roster as JONES.

Compare Nephrology Physician nationally: see state-by-state distribution →

Frequently Asked Questions

What is EDREA JONES, MD's specialty?
EDREA JONES, MD specializes in Nephrology Physician and practices in ATLANTA, Georgia. Credentials: MD.
How much does EDREA JONES, MD prescribe under Medicare Part D?
In 2023, EDREA JONES, MD wrote 1,532 Medicare Part D claims totaling $202K in drug costs for 255 beneficiaries.
What is EDREA JONES, MD's Medicare quality score?
EDREA JONES, MD has a CMS MIPS Final Score of 89.8928/100 (Quality: 79.7855). The national average MIPS Final Score is 83.1. Source: CMS Merit-based Incentive Payment System (MIPS) 2023.
Where is EDREA JONES, MD located?
EDREA JONES, MD is located at 275 COLLIER RD NW, ATLANTA, GA, 30309. Phone: (404) 352-3300.
What is EDREA JONES, MD's NPI number?
EDREA JONES, MD's National Provider Identifier (NPI) is 1427031210, issued on 11/25/2005.
Does EDREA JONES, MD prescribe more brand-name or generic drugs?
EDREA JONES, MD's prescribing is 13% brand-name and 87% generic drugs by claim count, with $155K in brand drug costs.
How many Nephrology Physician providers are there in the US?
There are 10,534 Nephrology Physician providers across 55 states in the US. The average Nephrology Physician provider writes 1,454 Medicare Part D claims per year.
What drugs does EDREA JONES, MD prescribe most often?
Based on 2023 Medicare Part D data, EDREA JONES, MD's most frequently prescribed drugs include Allopurinol, Amlodipine Besylate, Prosol. This reflects Medicare Part D prescriptions only and does not include commercial insurance or other payer types.
Does EDREA JONES, MD accept Medicare?
EDREA JONES, MD appears in CMS Medicare data with 1,532 Part D claims and 255 Medicare beneficiaries in 2023. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify EDREA JONES, MD's credentials?
EDREA JONES, MD's NPI is 1427031210 with credentials MD. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.

Data Sources

Provider Directory
CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
Specialty Classification
NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
Prescribing Data
CMS Medicare Part D Prescriber Public Use File (2023). Includes claims, drug costs, beneficiaries, and opioid prescribing rates.
Quality Performance
CMS Merit-based Incentive Payment System (MIPS) — 2023 performance year.
Limitations
Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.

See our complete data methodology for details on how we collect and process government data.

Data as of April 2026 (NPPES) / 2023 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).

Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology