Active NPI
Kerry Ann Kimala Jones
- General Practice Registered Nurse
- Hephzibah, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Registered Nurse
- License
- RN-246091
- Practice address
- 4623 Hunters Mill CT
Hephzibah, GA 30815-2029 - Phone
- (706) 386-2749
- NPI assigned
- Aug 2, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | RN-246091 | GA | |
| General Practice Registered Nurse | 163WG0000X | RN-246091 | GA | Primary |
Addresses
Primary practice location
4623 Hunters Mill CT
Hephzibah, GA 30815-2029
Mailing address
111 Doctor Cir
Columbia, SC 29203-6502
Phone (800) 491-0909
Medicare participation
Medicare enrollment files- 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: Yes
- Hospice: No
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Nurse Practitioner
- Education
- Other, 2024
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
Practice addresses (Care Compare)
624 Ellis St
Augusta, GA 30901-1434
Phone (800) 491-0909
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Nurse Practitioner
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| RN-246091 | GA | MD | Registered Nurse |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SC House Calls Inc | Current | Accepting new patients | |
| SC House Calls Inc | Current | Accepting new patients |
Locations
624 Ellis St
Augusta, GA 30901
1109 Medical Center Dr
Ste 2A
Augusta, GA 30909
Phone (706) 901-4242
2565 Thompson Bridge Rd
Ste 114
Gainesville, GA 30501
119 Canal St
Ste 102
Pooler, GA 31322
Phone (912) 226-0857
304 E Market St
Bennettsville, SC 29512
Phone (843) 479-3837
111 Doctor Cir
Columbia, SC 29203
Phone (803) 730-8910
1053 Center St
West Columbia, SC 29169
Phone (803) 454-0365
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Your Health Organization
- Family Medicine Physician
- Columbia, SC
- NPI 1518048859
GA
-
- Oxygen Equipment & Supplies (DME)
- Columbia, SC
- NPI 1073201711
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1722556800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1739836800000",
"number": "1285464602",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 DOCTOR CIR",
"city": "COLUMBIA",
"state": "SC",
"postal_code": "292036502",
"telephone_number": "800-491-0909"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4623 HUNTERS MILL CT",
"city": "HEPHZIBAH",
"state": "GA",
"postal_code": "308152029",
"telephone_number": "706-386-2749"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JONES",
"first_name": "KERRY ANN",
"middle_name": "KIMALA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-08-02",
"last_updated": "2025-02-18",
"certification_date": "2025-02-18",
"status": "A"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "GA",
"license": "RN-246091",
"primary": false
},
{
"code": "163WG0000X",
"taxonomy_group": "",
"desc": "Registered Nurse, General Practice",
"state": "GA",
"license": "RN-246091",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Hephzibah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.