Jerry Kenneth Weldon Jr., D.M.D.

Primary specialty

EndodonticsTaxonomy code 1223E0200X

License

011386 Issued in GA

Practice address

172 Professional Park Dr
Clarkesville, GA 30523-5536

Phone

(706) 754-1015

Fax

(706) 754-3359

NPI assigned

Jun 6, 2006

Last updated

Jul 13, 2026By the provider in NPPES

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• J Kenneth Weldon, Jr, DMD LLC

  • Endodontics
  • Clarkesville, GA
  • NPI 1275660904
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1149552000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1013956606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "172 PROFESSIONAL PARK DR",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305235536",
            "telephone_number": "706-754-1015",
            "fax_number": "706-754-3359"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "172 PROFESSIONAL PARK DR",
            "city": "CLARKESVILLE",
            "state": "GA",
            "postal_code": "305235536",
            "telephone_number": "706-754-1015",
            "fax_number": "706-754-3359"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELDON",
        "first_name": "JERRY",
        "middle_name": "KENNETH",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-06",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223E0200X",
            "taxonomy_group": "",
            "desc": "Dentist, Endodontics",
            "state": "GA",
            "license": "011386",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connie Marie Vanorman, PHARM.D.
• Jennifer Vaughan, LPC, NCC
• Walgreen Co (Walgreens #19561)
• Leah Watts, PA-C
• Kasie Weaver, PHARMD.
• Janet Cook Weyrich, D.D.S., M.S.
• Wildflower Counseling LLC (Wildflower Counseling)
• Beverly Deann Wilson, PHARM D
• Marta Nemeth Wilson, LAPC, CADC II
• Nancy Jeanne Woods, D.C.

• Endodontics in Clarkesville, GA
• Providers in Clarkesville, GA by specialty
• Endodontics in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.