Individual provider Active NPI

Kia Renee Jones, MD

  • Otolaryngology Physician
  • Roswell, GA
National Provider Identifier
1447570320
Registry record updated May 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Otolaryngology PhysicianTaxonomy code 207Y00000X
License
98190 Issued in GA
Practice address
1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230
Phone
(770) 475-3361
Fax
(770) 664-4431
NPI assigned
Jun 2, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 17, 2024

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Otolaryngology Physician 207Y00000X 01075033A IN
Otolaryngology Physician 207Y00000X 314809 NY
Student in an Organized Health Care Education/Training Program 390200000X
Otolaryngology Physician 207Y00000X 98190 GA Primary

Addresses

Primary practice location

1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230

Mailing address

1360 Upper Hembree Rd Ste 201B
Roswell, GA 30076-1230
Phone (770) 475-3361

Other practice location 1

2920 S McIntire Dr Ste 350
Bloomington, IN 47403-4215
Phone (812) 332-2226

Other practice location 2

Elm and Carlton St
Buffalo, NY 14263-0001
Phone (716) 845-2300

Other practice location 3

5165 McCarty Ln
Lafayette, IN 47905-8764
Phone (765) 448-8000

Other identifiers 2

IdentifierTypeStateIssuer
201098650MedicaidIN
P01512498OtherINRR MEDICARE

Electronic endpoints 3

TypeEndpointUseAffiliation
Direct Messaging Address kjones@direct.iuhealth.org Direct
Direct Messaging Address kjones@direct.iuhealth.org Direct
Direct Messaging Address kjones536988@directwellstar.org

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IN, GA2 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

Enrollment IDStateProvider typePAC IDDetails
I20150813010040 IN Practitioner - Otolaryngology 1052558442 Reassigns benefits to 3 organizations
I20231222002415 GA Practitioner - Otolaryngology 1052558442

Care Compare profile

Medicare Care Compare
Specialty
Otolaryngology
Education
Wayne State University School of Medicine, 2010
Medicare assignment
May accept Medicare assignment

Practice addresses (Care Compare)

PO Box
Suite 670747
Marietta, GA 30066

Hospital & facility affiliations

  • Wellstar North Fulton Medical Center Hospital, Roswell, GA, CCN 110198

Procedures performed for Medicare patients

ProcedureNumber of procedures
Upper gastrointestinal (GI) endoscopy for acid reflux1-10
Melanoma (skin cancer) excision1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

State licenses

LicenseStateTypeSpecialty
98190GAMDOtolaryngology Physician
01075033AINMDOtolaryngology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Wellstar Medical Group, LLC CurrentSince Dec 15, 2023 Accepting new patients
Indiana University Health Southern Indiana Physicians, LLC Otolaryngology CurrentSince Oct 20, 2021 Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 11, 2015 Accepting new patients
Indiana University Health Southern Indiana Physicians LLC CurrentSince Oct 20, 2021 Accepting new patients
Wellstar Medical Group, LLC Current Accepting new patients
Community Physicians of Indiana Inc CurrentSince Aug 11, 2015 Accepting new patients
Arnett Clinic, LLC CurrentSince Sep 11, 2023 Accepting new patients
Arnett Clinic, LLC Current Accepting new patients
Arnett Clinic, LLC Otolaryngology CurrentSince Sep 11, 2023 Accepting new patients

Locations

5150 Stilesboro Rd NW
Ste 220
Kennesaw, GA 30152
Phone (770) 424-8222

1360 Upper Hembree Rd
Ste 201B
Roswell, GA 30076
Phone (770) 225-1874

8016 Reliable Pkwy
Chicago, IL 60686

5819 Reliable Pkwy
Chicago, IL 60686

1629 Medical Arts Blvd
#200
Anderson, IN 46011
Phone (765) 298-5439

3113 Broadway St
Anderson, IN 46012
Phone (765) 298-4660

727 W 2nd St
Bloomington, IN 47403
Phone (812) 353-3450

2920 S McIntire Dr
Ste 350
Bloomington, IN 47403
Phone (812) 332-2226

250 N Shadeland Ave
Indianapolis, IN 46219
Phone (317) 948-9174

6626 E 75th St
Ste 500
Indianapolis, IN 46250
Phone (317) 621-7547

7120 Clearvista Dr
Ste 4000
Indianapolis, IN 46256
Phone (317) 621-7444

5165 McCarty Ln
Lafayette, IN 47905
Phone (800) 899-8448

5165 McCarty Ln
Rm 28A
Lafayette, IN 47905

2600 Greenbush St
Lafayette, IN 47904

Interoperability endpoints

  • Direct secure messaging: kjones370290@direct-prd.stelizabeth.com

Organizations & group practices 9

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.

Hospital & facility affiliations 1

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

NPI Registry JSON

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

{
    "created_epoch": "1275436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715904000000",
    "number": "1447570320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1360 UPPER HEMBREE RD STE 201B",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761230",
            "telephone_number": "770-475-3361",
            "fax_number": "770-664-4431"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
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            "city": "ROSWELL",
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            "postal_code": "300761230",
            "telephone_number": "770-475-3361",
            "fax_number": "770-664-4431"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2920 S McIntire Dr Ste 350",
            "address_purpose": "LOCATION",
            "city": "Bloomington",
            "state": "IN",
            "postal_code": "474034215",
            "country_code": "US",
            "telephone_number": "812-332-2226",
            "fax_number": "812-333-2433",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "Elm and Carlton St",
            "address_purpose": "LOCATION",
            "city": "Buffalo",
            "state": "NY",
            "postal_code": "142630001",
            "country_code": "US",
            "telephone_number": "716-845-2300",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "5165 McCarty Ln",
            "address_purpose": "LOCATION",
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            "state": "IN",
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            "country_code": "US",
            "telephone_number": "765-448-8000",
            "fax_number": "765-448-7625",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JONES",
        "first_name": "KIA",
        "middle_name": "RENEE",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-02",
        "last_updated": "2024-05-17",
        "certification_date": "2024-05-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "IN",
            "license": "01075033A",
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "NY",
            "license": "314809",
            "primary": false
        },
        {
            "code": "390200000X",
            "taxonomy_group": "",
            "desc": "Student in an Organized Health Care Education/Training Program",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207Y00000X",
            "taxonomy_group": "",
            "desc": "Otolaryngology",
            "state": "GA",
            "license": "98190",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "201098650",
            "state": "IN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE",
            "identifier": "P01512498",
            "state": "IN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjones@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "2920 S McIntire Dr Ste 350",
            "city": "Bloomington",
            "state": "IN",
            "country_code": "US",
            "postal_code": "474034215",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjones@direct.iuhealth.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "5165 McCarty Ln",
            "city": "Lafayette",
            "state": "IN",
            "country_code": "US",
            "postal_code": "479058764",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "kjones536988@directwellstar.org",
            "affiliation": "N",
            "address_1": "1360 Upper Hembree Rd Ste 201B",
            "city": "Roswell",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300761230",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Roswell, GA

Sources for this page

Verify at the official NPI Registry.