NPIMap

Organization Active NPI

Kenneth D. Jones M.D., P.C.

  • Psychiatry Physician
  • Augusta, GA
National Provider Identifier
1427394402
Registry record updated Dec 20, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatry PhysicianTaxonomy code 2084P0800X
License
9182 Issued in GA
Legal business name
KENNETH D. JONES M.D., P.C.
Practice address
1430 Harper St Ste C2
Augusta, GA 30901-0621
Phone
(706) 774-0404
Fax
(706) 774-1562
NPI assigned
Dec 20, 2012
Last updated
Dec 20, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 20, 2012

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

Authorized official

Name
Dr. Kenneth D. Jones, M.D.NPI 1366513350
Title
President of Company
Phone
(706) 774-0404

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatry Physician 2084P0800X 9182 GA Primary

Addresses

Primary practice location

1430 Harper St Ste C2
Augusta, GA 30901-0621

Mailing address

1430 Harper St Ste C2
Augusta, GA 30901-0621
Phone (706) 774-0404

National Provider Directory

National Provider Directory

Locations

1430 Harper St
Ste C2
Augusta, GA 30901
Phone (706) 774-0404

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1355961600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355961600000",
    "number": "1427394402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE C2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010621",
            "telephone_number": "706-774-0404",
            "fax_number": "706-774-1562"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1430 HARPER ST STE C2",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309010621",
            "telephone_number": "706-774-0404",
            "fax_number": "706-774-1562"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KENNETH D. JONES M.D., P.C.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-12-20",
        "last_updated": "2012-12-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "PRESIDENT OF COMPANY",
        "authorized_official_telephone_number": "706-774-0404",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "2084P0800X",
            "taxonomy_group": "",
            "desc": "Psychiatry & Neurology, Psychiatry",
            "state": "GA",
            "license": "9182",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Augusta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 20, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.