Kenneth A Son, MD

Primary specialty

Urology PhysicianTaxonomy code 208800000X

License

ME111180 Issued in FL

Practice address

1348 S 18TH St
Fernandina Beach, FL 32034-4785

Phone

(904) 227-2003

Fax

(904) 277-2006

NPI assigned

Sep 27, 2006

Last updated

Aug 22, 2024By 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 3

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in GA, FL, TX, NM4 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 4

Specialty

Urology

Education

Other, 1980

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Piedmont Specialty Hospital Billing LLCGroup PAC ID 4183986490, 252 clinicians

Los Alamos Physician Practices LLCGroup PAC ID 4587661541, 19 clinicians

Health First Medical Group, LLCGroup PAC ID 7416100672, 701 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Baptist Health Corbin Hospital, Corbin, KY, CCN 180080
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Los Alamos Medical Center Hospital, Los Alamos, NM, CCN 320033
• Piedmont Columbus Regional Northside Hospital, Columbus, GA, CCN 110200

Merit-based Incentive Payment System (MIPS)

Final score

93.93 of 100Reported as apm

Quality

82.14

Promoting interoperability

100

Improvement activities

40

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kson539056@directwellstar.org

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.

• Health First Medical Group, LLC

  • General Practice Physician
  • Melbourne, FL
  • NPI 1750626495
  Medicare reassignment Care Compare group NPD
• Los Alamos Physician Practices LLC

  • Family Medicine Physician
  • Los Alamos, NM
  • NPI 1750330510
  Medicare reassignment Care Compare group NPD
• Piedmont Specialty Hospital Billing LLC

  • Internal Medicine Physician
  • Jasper, GA
  • NPI 1699290510
  Medicare reassignment Care Compare group NPD
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Columbus, GA
  • NPI 1790733244

  Hospitalist

  Medicare reassignment NPD
• Seton Family of Doctors

  • Neurological Surgery Physician
  • Austin, TX
  • NPI 1588997233
  Medicare reassignment NPD
• Health First Medical Group, LLC

  • General Practice Physician
  • Rockledge, FL
  • NPI 1073268934
  NPD
• Baptist Health Medical Group Inc

  • Nurse Practitioner
  • Lexington, KY
  • NPI 1518360296
  NPD
• Baptist Health Medical Group Inc

  • Internal Medicine Physician
  • Frankfort, KY
  • NPI 1629740774
  NPD
• Baptist Health Medical Group Inc

  dba Dawson Springs Rural Health Clinic

  • Rural Health Clinic/Center
  • Dawson Springs, KY
  • NPI 1982178216
  NPD
• Columbus Ambulatory Healthcare Services, Inc.

  • Family Medicine Physician
  • Phenix City, AL
  • NPI 1699240531
  NPD
• Los Alamos Physician Practices, LLC

  dba Los Alamos General Surgery Clinic

  • Surgery Physician
  • Los Alamos, NM
  • NPI 1801075783
  NPD
• Seton Family of Doctors

  dba Ascension Texas Imaging

  • Radiology Clinic/Center
  • Austin, TX
  • NPI 1275290694
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Baptist Healthcare System, Inc

  dba Baptist Health Corbin

  • General Acute Care Hospital
  • Corbin, KY
  • NPI 1902865389
  Care Compare affiliation
• Hughston Hospital, Inc.

  dba Northside Medical Center

  • General Acute Care Hospital
  • Columbus, GA
  • NPI 1407082308
  Care Compare affiliation
• PHC-Los Alamos Inc

  dba Los Alamos Medical Center

  • Rural Acute Care Hospital
  • Los Alamos, NM
  • NPI 1285701623
  Care Compare affiliation
• University Health Services,Inc

  dba Piedmont Augusta Hospital

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566
  Care Compare affiliation

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

{
    "created_epoch": "1159315200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724284800000",
    "number": "1417048331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2421",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841102421",
            "telephone_number": "904-202-1034",
            "fax_number": "904-376-4107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1348 S 18TH ST",
            "city": "FERNANDINA BEACH",
            "state": "FL",
            "postal_code": "320344785",
            "telephone_number": "904-227-2003",
            "fax_number": "904-277-2006"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "463820 SR 200, Suite 103",
            "address_purpose": "LOCATION",
            "city": "Yulee",
            "state": "FL",
            "postal_code": "32097",
            "country_code": "US",
            "telephone_number": "904-225-8200",
            "fax_number": "904-225-9154",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "619 S 8th St Ste 304",
            "address_purpose": "LOCATION",
            "city": "Griffin",
            "state": "GA",
            "postal_code": "302244260",
            "country_code": "US",
            "telephone_number": "706-242-5201",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "701 W Cocoa Beach Cswy",
            "address_purpose": "LOCATION",
            "city": "Cocoa Beach",
            "state": "FL",
            "postal_code": "329313585",
            "country_code": "US",
            "telephone_number": "321-868-5871",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SON",
        "first_name": "KENNETH",
        "middle_name": "A",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-09-27",
        "last_updated": "2024-08-22",
        "certification_date": "2024-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "043782",
            "primary": false
        },
        {
            "code": "208M00000X",
            "taxonomy_group": "",
            "desc": "Hospitalist",
            "state": "FL",
            "license": "ME111180",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME111180",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kson539056@directwellstar.org",
            "affiliation": "N",
            "address_1": "619 S 8th St Ste 304",
            "city": "Griffin",
            "state": "GA",
            "country_code": "US",
            "postal_code": "302244260",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Cory Smith, DPT
• Gregory N Smith, MD
• Karen Smith, PT
• Mary Snyder, R.D.
• Felix Alexander Soleh, APRN, PMHNP-C
• Janai Sookbir, M.S. CCC-SLP
• Michael Patrick Soos, D.O.
• Nicole Marie Soos, DO
• Theresa A Sparks, PH.D.
• Speech Pathology Associates, P.a.

• Urology Physician in Fernandina Beach, FL
• Providers in Fernandina Beach, FL by specialty
• Urology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2024; 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.

Verify at the official NPI Registry.