NPIMap

Individual provider Active NPI

Kecia Jackson Jones, M.D.

  • Internal Medicine Physician
  • Demorest, GA
National Provider Identifier
1760410146
Registry record updated Oct 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
055247 Issued in GA
Practice address
815 Austin Dr
Demorest, GA 30535-4513
Phone
(706) 754-1034
Fax
(706) 754-1032
NPI assigned
Jun 28, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 055247 GA Primary

Addresses

Primary practice location

815 Austin Dr
Demorest, GA 30535-4513

Mailing address

P.O. Box 550
Demorest, GA 30535
Phone (706) 754-1034

Other identifiers 1

IdentifierTypeStateIssuer
620650772AMedicaidGA

Other names 1

  • Miss Kecia Grace Jones Former name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060828000314 GA Practitioner - Internal Medicine 3870597248 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal Medicine
Education
Mercer University School of Medicine, 2003
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Telehealth
Offers telehealth services
Group practices
The Jones Clinic, LLCGroup PAC ID 3870667850, 2 clinicians

Practice addresses (Care Compare)

225 Adams Dr
Suite 2
Demorest, GA 30535-4577
Phone (706) 754-1034

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as individual
Quality
100
Improvement activities
40

Procedures performed for Medicare patients

ProcedureNumber of procedures
Removal of skin lesions24

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
055247GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Jones Clinic, LLC Internal Medicine CurrentSince Sep 29, 2006 Accepting new patients

Locations

815 Austin Dr
Demorest, GA 30535
Phone (706) 754-6224

207 Adams Dr
Ste 2
Demorest, GA 30535
Phone (706) 968-9183

225 Adams Dr
Ste 2
Demorest, GA 30535
Phone (706) 754-1034

Organizations & group practices 1

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.

Hospital & facility affiliations 7

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": "1728864000000",
    "number": "1760410146",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "P.O. BOX 550",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "30535",
            "telephone_number": "706-754-1034",
            "fax_number": "706-754-1032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "815 AUSTIN DR",
            "city": "DEMOREST",
            "state": "GA",
            "postal_code": "305354513",
            "telephone_number": "706-754-1034",
            "fax_number": "706-754-1032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KECIA",
        "middle_name": "JACKSON",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-06-28",
        "last_updated": "2024-10-14",
        "certification_date": "2024-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "055247",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "620650772A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KECIA",
            "last_name": "JONES",
            "middle_name": "GRACE",
            "prefix": "MISS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Demorest, GA

Sources for this page

Verify at the official NPI Registry.