Kendyll Humphrey Jones, PA

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9115437 Issued in FL

Practice address

1511 Surgeons Dr Ste a
Tallahassee, FL 32308-4681

Phone

(850) 878-6134

NPI assigned

Dec 29, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kendyll Humphrey Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Physician Assistant

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kendylljones@telmedgrp.allscriptsdirect.net

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.

• Tallahassee Medical Group, PLLC

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972265130
  NPD
• Tallahassee Primary Care Associates, PA

  • Family Medicine Physician
  • Tallahassee, FL
  • NPI 1972661262
  NPD (past)

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

{
    "created_epoch": "1640736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1640736000000",
    "number": "1467112672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 12427",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323172427",
            "telephone_number": "850-297-0114",
            "fax_number": "850-297-0314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1511 SURGEONS DR STE A",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "323084681",
            "telephone_number": "850-878-6134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KENDYLL",
        "middle_name": "HUMPHREY",
        "credential": "PA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-12-29",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9115437",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KENDYLL",
            "last_name": "HUMPHREY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Jeremy Andrew Jones, CRNA
• Jonathan Renault Jones, ATHLETIC TRAINER
• Kaiela Jones, RBT
• Kathryn H Jones
• Keemasheka Jones, LPN
• Kevin Patrick Jones, P.T.
• Kimberly Jones
• Lashaundra Kendria Jones, CNA
• Lauren Wilson Jones, APRN
• Letita Jones

• All providers in Tallahassee, FL
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 29, 2021; 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.