Robert Tyre Jones IV, PSY.D.
NPI 1225192479ActiveIndividual· Psychologist, Clinical· Conyers, GA
Opted out of Medicare from August 2018 to August 2028. Psychologist, Clinical (PSY.D.) in Conyers, Georgia, licensed in GA, with an NPI issued in December 2006.
Overview
| NPI | 1225192479 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PSY.D. |
| Sole proprietor | Yes |
| NPI issued | Dec 21, 2006 |
| Last updated in NPPES | Sep 18, 2007 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Psychologist, Clinical Primary | 103TC0700X | PSY002625 | GA |
| Psychologist, Health | 103TH0004X | PSY002625 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|---|
| Opt-out | Opted out Aug 27, 2018 – Aug 27, 2028 |
| Can order and refer | Yes |
During an opt-out period the provider sees Medicare patients only under private contracts, and Medicare does not pay claims for their services.
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