Individual provider Active NPI

Jonathan Kerr, MD

  • Family Medicine Physician
  • Fort Worth, TX
National Provider Identifier
1467957944
Registry record updated Nov 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
S3829 Issued in TX
Practice address
1500 S Main St
Fort Worth, TX 76104-4917
Phone
(817) 702-1173
NPI assigned
Mar 27, 2018
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 28, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Family Medicine Physician 207Q00000X S3829 TX Primary

Addresses

Primary practice location

1500 S Main St
Fort Worth, TX 76104-4917

Mailing address

1500 S Main St
Fort Worth, TX 76104-4917

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX
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 1

Enrollment IDStateProvider typePAC IDDetails
I20211104001245 TX Practitioner - Family Practice 2062800436 Reassigns benefits to 6 organizations

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Texas Tech University Health Science Center School of Medicine, 2018
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Heart of Texas Community Health Center, Inc.Group PAC ID 1153370242, 106 clinicians
Hamilton County Hospital DistrictGroup PAC ID 2062326234, 24 clinicians

Practice addresses (Care Compare)

1600 Providence Dr
Waco, TX 76707-2261
Phone (254) 313-4200

400 N Brown St
Hamilton, TX 76531-1518
Phone (254) 386-1600

Hospital & facility affiliations

  • Hamilton General Hospital Hospital, Hamilton, TX, CCN 451392
  • Baylor Scott & White Medical Center Hillcrest Hospital, Waco, TX, CCN 450101
  • Ascension Providence Hospital, Waco, TX, CCN 450042

Procedures performed for Medicare patients

ProcedureNumber of procedures
Skin biopsy1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
S3829TXMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Concord Medical Group of Texas PLLC CurrentSince Sep 30, 2021 Accepting new patients
Heart of Texas Community Health Center, Inc. Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Hamilton County Hospital District Family Medicine CurrentSince Oct 1, 2024 Accepting new patients
Heart of Texas Community Health Center, Inc Family Medicine CurrentSince Nov 4, 2024 Accepting new patients
Concord Medical Group PLLC CurrentSince Sep 30, 2021 Accepting new patients
Hamilton County Hospital District CurrentSince Oct 1, 2024 Accepting new patients
Scurry County Hospital District CurrentSince Jun 1, 2023 Accepting new patients
Scurry County Hospital District CurrentSince Jun 1, 2023 Accepting new patients
Heart of Texas Community Health Center Inc Current Accepting new patients
Ascension Providence Past Accepting new patients
Hillcrest Baptist Medical Center Past Accepting new patients

Locations

200 S Geneva St
Breckenridge, TX 76424
Phone (254) 559-2241

400 N Brown St
Hamilton, TX 76531
Phone (254) 386-1600

400 N Brown St
Bldg 1
Hamilton, TX 76531
Phone (254) 386-1600

310 W South St
Henrietta, TX 76365
Phone (806) 647-2191

1323 E Franklin St
Ste 105
Hillsboro, TX 76645
Phone (254) 582-7481

215 Chisholm Trl
Jacksboro, TX 76458
Phone (940) 567-5528

1700 Cogdell Blvd
Snyder, TX 79549
Phone (325) 573-6374

1600 Providence Dr
Waco, TX 76707
Phone (254) 313-4200

Organizations & group practices 11

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 3

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": "1522108800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1638057600000",
    "number": "1467957944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 S MAIN ST",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "761044917",
            "telephone_number": "817-702-1173"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KERR",
        "first_name": "JONATHAN",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-03-27",
        "last_updated": "2021-11-28",
        "certification_date": "2021-11-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S3829",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

Verify at the official NPI Registry.