Individual provider Active NPI

Kerry Ann Kimala Jones

  • General Practice Registered Nurse
  • Hephzibah, GA
National Provider Identifier
1285464602
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice Registered NurseTaxonomy code 163WG0000X
License
RN-246091 Issued in GA
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

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250213000412 GA Practitioner - Nurse Practitioner 0143750612 Reassigns benefits to 1 organization

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
SC House Calls IncGroup PAC ID 6800994807, 445 clinicians

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

LicenseStateTypeSpecialty
RN-246091GAMDRegistered Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
SC House Calls Inc CurrentSince Jan 21, 2025 Accepting new patients
SC House Calls Inc CurrentSince Jan 21, 2025 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.

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

Verify at the official NPI Registry.