Kenneth Wayne Jones Jr, MD

Primary specialty

Emergency Medicine PhysicianTaxonomy code 207P00000X

License

31037 Issued in GA

Practice address

424 N Main St
Cedartown, GA 30125-2644

Phone

(770) 748-2500

NPI assigned

Jun 16, 2006

Last updated

Apr 10, 2014By 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

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in GA, AL2 enrollments

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: Yes

Green means eligible to order or refer.

Enrollment records 2

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

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.

• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Rome, GA
  • NPI 1962944900
  Medicare reassignment NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Riverdale, GA
  • NPI 1033576376
  Medicare reassignment NPD
• Cherokee County Physicians, LLC

  • Emergency Medicine Physician
  • Centre, AL
  • NPI 1760958680
  Medicare reassignment NPD
• Weiss Lake Hospitalists, LLC

  • Hospitalist Physician
  • Centre, AL
  • NPI 1205397643
  Medicare reassignment NPD
• Etowah Emergency Physicians, LLC

  • Emergency Medicine Physician
  • Cedartown, GA
  • NPI 1306388343
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Griffin, GA
  • NPI 1063859692
  NPD
• Georgia Hospitalists Group, LLC

  • Hospitalist Physician
  • Cedartown, GA
  • NPI 1477099588
  NPD
• Covenant Emergency Physicians LLC

  • Emergency Medicine Physician
  • Demorest, GA
  • NPI 1194776914
  NPD (past)

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

{
    "created_epoch": "1150416000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397088000000",
    "number": "1174567168",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7 HUNTINGTON RD SW",
            "city": "ROME",
            "state": "GA",
            "postal_code": "301656660",
            "telephone_number": "706-234-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "424 N MAIN ST",
            "city": "CEDARTOWN",
            "state": "GA",
            "postal_code": "301252644",
            "telephone_number": "770-748-2500"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES JR",
        "first_name": "KENNETH",
        "middle_name": "WAYNE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-16",
        "last_updated": "2014-04-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "GA",
            "license": "31037",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000475307F",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hospital Authority of Floyd County (Polk Medical Center)
• Jessica Mae Ikinci, NP
• Indywazesllc
• Martha Rhonwyn Jennings
• Patricia Johnson
• Evan Jones
• Tracy Michelle Jones, RN, PMHNP
• Justin Homecare Services, Inc
• K&J Community Steps Inc
• Lorraine Louise Kennedy

• Emergency Medicine Physician in Cedartown, GA
• Providers in Cedartown, GA by specialty
• Emergency Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 10, 2014; 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.