Active NPI
Jonathan Kerr, MD
- Family Medicine Physician
- Fort Worth, TX
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- S3829
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
Enrollment records 1
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
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
- Baylor Scott & White Medical Center Hillcrest
- Ascension Providence
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Skin biopsy | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| S3829 | TX | MD | Family Medicine Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Concord Medical Group of Texas PLLC | Current | Accepting new patients | |
| Heart of Texas Community Health Center, Inc. | Family Medicine | Current | Accepting new patients |
| Hamilton County Hospital District | Family Medicine | Current | Accepting new patients |
| Heart of Texas Community Health Center, Inc | Family Medicine | Current | Accepting new patients |
| Concord Medical Group PLLC | Current | Accepting new patients | |
| Hamilton County Hospital District | Current | Accepting new patients | |
| Scurry County Hospital District | Current | Accepting new patients | |
| Scurry County Hospital District | Current | 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.
-
- Critical Access Hospital
- Hamilton, TX
- NPI 1326037607
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1568191492
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1750790762
-
- Emergency Medicine Physician
- Lubbock, TX
- NPI 1083630610
-
- Emergency Medical Services (Emergency Medicine) Physician
- Snyder, TX
- NPI 1124139159
-
- Skilled Nursing Facility
- San Antonio, TX
- NPI 1952637316
-
- Federally Qualified Health Center (FQHC)
- Waco, TX
- NPI 1164409926
Family Medicine
-
- Federally Qualified Health Center (FQHC)
- Temple, TX
- NPI 1992685218
Family Medicine
-
- General Acute Care Hospital
- Snyder, TX
- NPI 1609971019
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
Hospital & facility affiliations 3
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Waco, TX
- NPI 1093708679
-
- Critical Access Hospital
- Hamilton, TX
- NPI 1326037607
-
- General Acute Care Hospital
- Waco, TX
- NPI 1891882833
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 28, 2021; 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.