Kenyon M. Meadows, MD

Primary specialty

Radiation Oncology PhysicianTaxonomy code 2085R0001X

License

00027449 Issued in AL

Practice address

4247 W. Main Street
Dothan, AL 36305-1062

Phone

(334) 793-3212

Fax

(334) 671-0484

NPI assigned

Jul 5, 2006

Sex

Male

Sole proprietor

No

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.

• American Oncology Partners PA

  • Hematology & Oncology Physician
  • Columbus, OH
  • NPI 1265929723

  GA, Radiation Oncology

  Medicare reassignment Care Compare group NPD
• Cooperative Healthcare Services Inc

  • Clinic/Center
  • Brunswick, GA
  • NPI 1417979402

  GA

  Medicare reassignment Care Compare group
• Mayo Clinic Health System in Waycross, Inc.

  • Multi-Specialty Clinic/Center
  • Waycross, GA
  • NPI 1154745982

  GA

  Medicare reassignment NPD
• American Oncology Partners, P.a.

  • Hematology & Oncology Physician
  • Council Bluffs, IA
  • NPI 1336798750
  Care Compare group
• Integrated Regional Laboratories Pathology Services, LLC

  • Anatomic Pathology & Clinical Pathology Physician
  • Atlantis, FL
  • NPI 1942526298
  NPD
• Genesiscare USA of Alabama LLC

  • Radiation Oncology Physician
  • Dothan, AL
  • NPI 1831385632

  Radiation Oncology

  NPD (past)
• Paul W. Adams, MD, PC

  • Radiation Oncology Physician
  • Dothan, AL
  • NPI 1851371306

  Radiation Oncology

  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Coffee Regional Medical Center, Inc

  • General Acute Care Hospital
  • Douglas, GA
  • NPI 1760419527

  Hospital

  Care Compare affiliation
• Hospital Authority of Wayne County, Georgia

  • General Acute Care Hospital
  • Jesup, GA
  • NPI 1770578999

  Hospital

  Care Compare affiliation
• Southeast Georgia Health Services, L.L.C.

  • Rural Acute Care Hospital
  • Waycross, GA
  • NPI 1922530468

  Hospital

  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Saint Marys, GA
  • NPI 1194744326

  Hospital

  Care Compare affiliation
• Southeast Georgia Health System, Inc.

  • General Acute Care Hospital
  • Brunswick, GA
  • NPI 1598784720

  Hospital

  Care Compare affiliation

Specialty

Radiation Oncology

Education

Clvlnd Clinic Lerner College of Med of Case WSTN RSV University, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

American Oncology Partners PA 377 clinicians

Cooperative Healthcare Services Inc 235 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Southeast Georgia Health System- Brunswick Campus Hospital, Brunswick, GA, CCN 110025
• Southeast Georgia Health System -- Camden Campus Hospital, Saint Marys, GA, CCN 110146
• Wayne Memorial Hospital Hospital, Jesup, GA, CCN 110124
• Memorial Satilla Health Hospital, Waycross, GA, CCN 110003
• Coffee Regional Medical Center, Inc Hospital, Douglas, GA, CCN 110089

Merit-based Incentive Payment System (MIPS)

Final score

91.07 of 100Reported as group

Quality

81.4

Promoting interoperability

99

Improvement activities

40

Cost

71.99

Merit-based Incentive Payment System (MIPS)

Final score

76.36 of 100Reported as group

Quality

46.72

Promoting interoperability

99

Improvement activities

40

Cost

75.31

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

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: kmeadow@sghs.direct.varian.com
• Direct secure messaging: kenyon.meadows@hca5.eclinicaldirectplus.com

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

Specialties & licenses 2

Addresses

Other identifiers 6

Electronic endpoints 1

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

{
    "created_epoch": "1152057600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730764800000",
    "number": "1891726451",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2234 COLONIAL BLVD",
            "city": "FORT MYERS",
            "state": "FL",
            "postal_code": "339071412",
            "telephone_number": "239-931-7342",
            "fax_number": "239-931-7385"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4247 W. MAIN STREET",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051062",
            "telephone_number": "334-793-3212",
            "fax_number": "334-671-0484"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2500 Starling St Ste 107",
            "address_purpose": "LOCATION",
            "city": "Brunswick",
            "state": "GA",
            "postal_code": "315204266",
            "country_code": "US",
            "telephone_number": "912-466-5100",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MEADOWS",
        "first_name": "KENYON",
        "middle_name": "M.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-07-05",
        "last_updated": "2024-11-05",
        "certification_date": "2024-11-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "GA",
            "license": "61801",
            "primary": false
        },
        {
            "code": "2085R0001X",
            "taxonomy_group": "",
            "desc": "Radiology, Radiation Oncology",
            "state": "AL",
            "license": "00027449",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID GROUP AL",
            "identifier": "1831385632",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1891726451",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "276328100",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF AL",
            "identifier": "510-10021",
            "state": "AL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "400647716A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RAILROAD MEDICARE PIN #",
            "identifier": "P00348790",
            "state": "AL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KENYON.MEADOWS@hca5.eclinicaldirectplus.com",
            "affiliation": "N",
            "address_1": "4247 W. MAIN STREET",
            "city": "DOTHAN",
            "state": "AL",
            "country_code": "US",
            "postal_code": "363051062",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Dashon C McNelley, LPC
• Kathryn McNutt, OTR/L
• William Earl McRae III, M.D.
• Kimlyn McVay, RN
• Hannah Elise Meadows, DPT
• Medcore Associates, PLLC
• Medcore Diagnostics LLC
• Medical Arts Pharmacy Inc
• Medical Arts Pharmacy, Inc.
• Medical Specialties of Dothan, PC

• All providers in Dothan, AL
• Radiation Oncology Physician in Alabama

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.