John Lex Kenerly, III, MD

Primary specialty

Orthopaedic Surgery PhysicianTaxonomy code 207X00000X

License

030633 Issued in GA

Legal business name

JOHN LEX KENERLY, III, MD

Practice address

811 S 1St St
Jesup, GA 31545-0209

Phone

(912) 427-0800

Fax

(912) 427-6029

NPI assigned

Feb 28, 2007

Organization subpart

No

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

Authorized official

Name

John Lex Kenerly III, MD

Title

Owner/President

Phone

(912) 427-0800

Specialties & licenses 1

Addresses

Other identifiers 1

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1172620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1269302400000",
    "number": "1790812451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1334",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315981334",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "811 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450209",
            "telephone_number": "912-427-0800",
            "fax_number": "912-427-6029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOHN LEX KENERLY, III, MD",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-03-23",
        "status": "A",
        "authorized_official_last_name": "KENERLY",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "LEX",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "912-427-0800",
        "authorized_official_name_suffix": "III",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "207X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Orthopaedic Surgery",
            "state": "GA",
            "license": "030633",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000374921A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jesup Healthcare LLC (Jesup HealthCare)
• Jesup Operator LLC (Jesup Health and Rehab)
• Jesup Pediatrics, P.C.
• Jesup Ridge of Journey LLC
• Jesupcare Anesthesia, PC
• Ashleigh Lewis Johnson, PAC
• Carelle Johnson
• Joy C Johnson, PHARM.D.
• Jones Prescription Shop, Inc.
• Jones Prescription Shop, Inc.

• Orthopaedic Surgery Physician in Jesup, GA
• Providers in Jesup, GA by specialty
• Orthopaedic Surgery Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.