NPIMap

Individual provider Active NPI

Kenneth Jackson Delay Jr., M.D.

  • Urology Physician
  • Columbus, GA
National Provider Identifier
1699092056
Registry record updated Nov 22, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urology PhysicianTaxonomy code 208800000X
License
86892 Issued in SC
Practice address
1538 13TH Ave Ste a
Columbus, GA 31901-2544
Phone
(706) 323-4000
NPI assigned
Apr 26, 2010
Last updated
Nov 22, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 22, 2021

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Urology Physician 208800000X ME132919 FL
Urology Physician 208800000X 301759 LA
Urology Physician 208800000X 86376 GA
Urology Physician 208800000X 86892 SC Primary

Addresses

Primary practice location

1538 13TH Ave Ste a
Columbus, GA 31901-2544

Mailing address

707 Center St Ste 110
Columbus, GA 31901-1575

Other practice location 1

222 E Medical Ln Ste 101
West Columbia, SC 29169-4850
Phone (803) 739-3660

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, SC2 enrollments
Eligible to order & refer
  • Part B services
  • Medical equipment
  • Home health
  • Power mobility devices
  • Hospice
Green means eligible to order or refer.

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20200813000299 GA Practitioner - Urology 5890082945 Reassigns benefits to 2 organizations
I20211129000892 SC Practitioner - Urology 5890082945 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Urology
Education
Medical College of Georgia School of Medicine, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Musc Community PhysiciansGroup PAC ID 6507260668, 1,353 clinicians

Practice addresses (Care Compare)

838 W Meeting St
BLDG 5 Suite F
Lancaster, SC 29720-6233
Phone (843) 792-1414

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
84.09 of 100Reported as group
Quality
68.87
Promoting interoperability
100
Improvement activities
40
Cost
78.11

Procedures performed for Medicare patients

ProcedureNumber of procedures
Prostate resection1-10

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
86892SCMDUrology Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Hospital Authority of Valdosta and Lowndes County Georgia Current Accepting new patients
Musc Community Physicians CurrentSince Aug 12, 2025 Accepting new patients
Hospital Authority of Valdosta and Lowndes County Georgia CurrentSince Nov 1, 2021 Accepting new patients
Hospital Authority of Valdosta and Lowndes County, Georgia CurrentSince Nov 1, 2021 Accepting new patients
Lexington Health Inc Urology CurrentSince Dec 1, 2021 Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Lexington Health Inc Current Accepting new patients
Columbus Ambulatory Healthcare Services, Inc. CurrentSince Sep 21, 2020 Accepting new patients
Musc Community Physicians Urology Current Accepting new patients
Lexington Health Inc CurrentSince Dec 1, 2021 Accepting new patients
Musc Community Physicians CurrentSince Aug 12, 2025 Accepting new patients
Hospital Authority of the City of Bainbridge and Decatur County Past Accepting new patients
Regional Medical Center of Orangeburg and Calhoun Counties Past Accepting new patients

Locations

1538 13th Ave
Ste A
Columbus, GA 31901
Phone (706) 323-4000

1800 10th Ave
Columbus, GA 31901
Phone (706) 571-1120

707 Center St
Ste 110
Columbus, GA 31901
Phone (706) 494-4300

2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139

506 North St
Bamberg, SC 29003
Phone (803) 245-6290

3016 Longtown Commons Dr
Ste 205
Columbia, SC 29229
Phone (803) 739-3660

838 W Meeting St
Ste F
Lancaster, SC 29720
Phone (803) 285-4400

811 W Main St
Ste 101
Lexington, SC 29072
Phone (803) 936-7230

222 E Medical Ln
Ste 101
West Columbia, SC 29169
Phone (803) 739-3660

Interoperability endpoints

  • Direct secure messaging: kdelay541539@direct.musc.edu

Organizations & group practices 13

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

View all 13

Hospital & facility affiliations 6

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": "1272240000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637539200000",
    "number": "1699092056",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 CENTER ST STE 110",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319011575"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1538 13TH AVE STE A",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319012544",
            "telephone_number": "706-323-4000"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "222 E Medical Ln Ste 101",
            "address_purpose": "LOCATION",
            "city": "West Columbia",
            "state": "SC",
            "postal_code": "291694850",
            "country_code": "US",
            "telephone_number": "803-739-3660",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DELAY",
        "first_name": "KENNETH",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-04-26",
        "last_updated": "2021-11-22",
        "certification_date": "2021-02-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "FL",
            "license": "ME132919",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "LA",
            "license": "301759",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "GA",
            "license": "86376",
            "primary": false
        },
        {
            "code": "208800000X",
            "taxonomy_group": "",
            "desc": "Urology",
            "state": "SC",
            "license": "86892",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, GA

Sources for this page

Verify at the official NPI Registry.