Individual provider Active NPI

Kevin A Oneal, MD

  • Family Medicine Physician
  • Bogart, GA
National Provider Identifier
1740218072
Registry record updated Apr 25, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Family Medicine PhysicianTaxonomy code 207Q00000X
License
042378 Issued in GA
Practice address
1181 Langford Dr
BLDG 100 Ste 101
Bogart, GA 30622-2542
Phone
(706) 546-9838
Fax
(706) 546-9347
NPI assigned
Jun 28, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2014

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 042378 GA Primary

Addresses

Primary practice location

1181 Langford Dr
BLDG 100 Ste 101
Bogart, GA 30622-2542

Mailing address

1181 Langford Dr
BLDG 100 Ste 101
Bogart, GA 30622-2542
Phone (706) 546-9838

Other identifiers 1

IdentifierTypeStateIssuer
000752353BMedicaidGA

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
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
I20100910000867 GA Practitioner - Family Practice 2365567559 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Family Practice
Education
Medical College of Georgia School of Medicine, 1995
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

1181 Langford Dr
Suite 101
Watkinsville, GA 30677-7242
Phone (706) 546-9838

Hospital & facility affiliations

  • Piedmont Athens Regional Medical Center Hospital, Athens, GA, CCN 110074
  • St Mary'S Hospital Hospital, Athens, GA, CCN 110006

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
042378GAMDFamily Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Kao, LLC CurrentSince Jul 1, 2018 Accepting new patients
VNS LLC Current Accepting new patients

Locations

1181 Langford Dr
Bldg 100
Watkinsville, GA 30677
Phone (706) 546-9838

Organizations & group practices 2

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 2

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": "1151452800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1398384000000",
    "number": "1740218072",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLDG 100 STE 101",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222542",
            "telephone_number": "706-546-9838",
            "fax_number": "706-546-9347"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1181 LANGFORD DR",
            "address_2": "BLDG 100 STE 101",
            "city": "BOGART",
            "state": "GA",
            "postal_code": "306222542",
            "telephone_number": "706-546-9838",
            "fax_number": "706-546-9347"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ONEAL",
        "first_name": "KEVIN",
        "middle_name": "A",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-28",
        "last_updated": "2014-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "042378",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000752353B",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Bogart, GA

Sources for this page

Verify at the official NPI Registry.