Individual provider Active NPI

Kyle Lendl Jones, M.D.

  • Emergency Medicine Physician
  • Jackson, MS
National Provider Identifier
1871881771
Registry record updated Jul 15, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Emergency Medicine PhysicianTaxonomy code 207P00000X
License
T-2452 Issued in MS
Practice address
2500 N State St
Jackson, MS 39216-4500
Phone
(601) 984-5582
NPI assigned
Jul 13, 2011
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 15, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Emergency Medicine Physician 207P00000X T-2452 MS Primary

Addresses

Primary practice location

2500 N State St
Jackson, MS 39216-4500

Mailing address

150 Park Circle Dr Apt E57
Flowood, MS 39232-7635
Phone (404) 643-3745

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
I20150625002651 GA Practitioner - Emergency Medicine 4183946254 Reassigns benefits to 9 organizations

Care Compare profile

Medicare Care Compare
Specialty
Emergency Medicine
Education
Meharry Medical College School of Medicine, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
The Southeast Permanente Medical GroupGroup PAC ID 6204829013, 823 clinicians

Practice addresses (Care Compare)

3495 Piedmont Rd NE
Atlanta, GA 30305-1729
Phone (404) 364-7206

National Provider Directory

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

State licenses

LicenseStateTypeSpecialty
T-2452MSMDEmergency Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
The Southeast Permanente Medical Group CurrentSince Sep 20, 2025 Accepting new patients
Acs Primary Care Physicians - Southeast PC Emergency Medicine CurrentSince Dec 6, 2017 Accepting new patients
Lagrange Emergency Physicians, LLC Emergency Medicine CurrentSince Aug 14, 2015 Accepting new patients
The Bortolazzo Group, LLC Emergency Medicine CurrentSince Jun 1, 2015 Accepting new patients
Montgomery Emergency Group, LLC Emergency Medicine CurrentSince Dec 20, 2018 Accepting new patients
Peach State Emergency Physicians LLC Emergency Medicine CurrentSince Mar 1, 2025 Accepting new patients
Hightower Emergency Group, PC Emergency Medicine CurrentSince Apr 16, 2018 Accepting new patients
Small Hospital Innovations LLC Emergency Medicine CurrentSince Apr 1, 2022 Accepting new patients
Lavender Inpatient Services LLC Past Accepting new patients

Locations

3495 Piedmont Rd NE
Bldg 9
Atlanta, GA 30305
Phone (404) 364-7000

1350 Walton Way
Augusta, GA 30901
Phone (706) 722-9011

2260 Wrightsboro Rd
Augusta, GA 30904
Phone (706) 481-7000

3950 Austell Rd
Austell, GA 30106
Phone (770) 732-3752

1514 Vernon Rd
Lagrange, GA 30240
Phone (706) 812-2369

2151 W Spring St
Monroe, GA 30655
Phone (770) 267-1792

11 Upper Riverdale Rd SW
Riverdale, GA 30274
Phone (770) 897-7277

801 W Gordon St
Thomaston, GA 30286
Phone (706) 647-4371

2460 Washington Rd
Thomson, GA 30824
Phone (706) 595-1411

1 Meadows Pkwy
Vidalia, GA 30474
Phone (912) 535-5429

Interoperability endpoints

  • FHIR API: https://api.platform.athenahealth.com/14272/brand/70/csg/1/fhir/r4

Organizations & group practices 10

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.

NPI Registry JSON

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

{
    "created_epoch": "1310515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1405382400000",
    "number": "1871881771",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 PARK CIRCLE DR APT E57",
            "city": "FLOWOOD",
            "state": "MS",
            "postal_code": "392327635",
            "telephone_number": "404-643-3745"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2500 N STATE ST",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392164500",
            "telephone_number": "601-984-5582"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JONES",
        "first_name": "KYLE",
        "middle_name": "LENDL",
        "name_prefix": "Dr.",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-07-13",
        "last_updated": "2014-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207P00000X",
            "taxonomy_group": "",
            "desc": "Emergency Medicine",
            "state": "MS",
            "license": "T-2452",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

Verify at the official NPI Registry.