Active NPI
Kia Renee Jones, MD
- Otolaryngology Physician
- Roswell, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Otolaryngology Physician
- License
- 98190
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 4
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 201098650 | Medicaid | IN | |
| P01512498 | Other | IN | RR MEDICARE |
Electronic endpoints 3
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
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
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Upper gastrointestinal (GI) endoscopy for acid reflux | 1-10 |
| Melanoma (skin cancer) excision | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 98190 | GA | MD | Otolaryngology Physician |
| 01075033A | IN | MD | Otolaryngology Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians, LLC | Otolaryngology | Current | Accepting new patients |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Indiana University Health Southern Indiana Physicians LLC | Current | Accepting new patients | |
| Wellstar Medical Group, LLC | Current | Accepting new patients | |
| Community Physicians of Indiana Inc | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Current | Accepting new patients | |
| Arnett Clinic, LLC | Otolaryngology | Current | 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
- 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.
-
- Family Medicine Physician
- Indianapolis, IN
- NPI 1619105244
-
- Multi-Specialty Clinic/Center
- Bloomington, IN
- NPI 1013953983
Otolaryngology
-
- Multi-Specialty Clinic/Center
- Marietta, GA
- NPI 1275992240
-
- Family Medicine Physician
- Kennesaw, GA
- NPI 1558664003
-
- Durable Medical Equipment & Medical Supplies
- Lafayette, IN
- NPI 1699839563
-
- Clinical Medical Laboratory
- Lafayette, IN
- NPI 1881655090
-
- Endocrinology, Diabetes & Metabolism Physician
- Carmel, IN
- NPI 1992396337
-
- Durable Medical Equipment & Medical Supplies
- Bloomington, IN
- NPI 1063179844
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Roswell, GA
- NPI 1750312997
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",
"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"
}
],
"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",
"city": "Lafayette",
"state": "IN",
"postal_code": "479058764",
"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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 17, 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.