DR. KENNETH E JONES (NPI# 1417018920) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417018920 |
| Entity Type | Individual |
| Full Name | DR. KENNETH E JONES |
| Credential | M.D. |
| Practice Address |
6325 Shannon Pkwy Suite D Union City GA 30291-1538 |
| Practice Telephone | 7709641400 |
| Practice Fax Number | 6788151248 |
| Mailing Telephone | 7709641400 |
| Mailing Fax Number | 7703061343 |
| Enumeration Date | 2006-12-12 |
| Last Update Date | 2012-08-14 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207QA0505X |
Family Medicine Specialization: Adult Medicine |
024000 | GA | Allopathic & Osteopathic Physicians |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588152573 | Kenneth Jones Jr. | Psychologist | 13634 Mayflower St, Victorville, CA 92392-8366 | 2018-04-25 |
| 1184054207 | Kenneth Jones | Case Manager/Care Coordinator | 545 W Iroquois Rd, Pontiac, MI 48341-2024 | 2013-11-26 |
| 1881934743 | Kenneth Neil Jones | General Practice | 5802 Bob Bullock Loop # C, Ste 328c93, Laredo, TX 78041-8807 | 2013-02-28 |
| 1992057046 | Kenneth L Jones | Physician Assistant | 3591 Twin Pond Rd, Vernon, FL 32462-3362 | 2012-10-12 |
| 1366739112 | Kenneth Jones | Counselor | 720 South B Street, San Mateo, CA 94401 | 2011-06-30 |
| 1871815357 | Kenneth Jones | Nurse Practitioner | 600 Corvette Dr, Bowling Green, KY 42101-9109 | 2010-02-24 |
| 1154535417 | Kenneth B. Jones | Psychologist | 310 Mid-continent Plaza, Suite 606, West Memphis, AR 72301 | 2007-05-09 |
| 1376762963 | Kenneth C. Jones | Social Worker | 906 W Henderson St, Cleburne, TX 76033-4836 | 2007-04-24 |
| 1063533248 | Kenneth J Jones | Massage Therapist | 8977 Alexandra Cir, West Palm Beach, FL 33414-6437 | 2007-04-03 |
| 1447382239 | Kenneth Jones | Physical Therapist | 116 S 1st Ave, Othello, WA 99344-1304 | 2007-03-09 |
| Street Address |
6325 SHANNON PKWY SUITE D |
| City | UNION CITY |
| State | GA |
| Zip Code | 30291-1538 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972730562 | Southside Medical Care II LLC | Family Medicine | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 2009-06-22 |
| 1841439387 | Megan W Walpole | Physician Assistant | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 2009-02-06 |
| 1376752311 | Southside Medical Care | Family Medicine | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 2007-05-22 |
| 1780745554 | Kelly Russin | Physician Assistant | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 2006-12-13 |
| 1205997624 | Jon P Cox | Family Medicine | 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 2006-12-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801392436 | Danyell Smith | Counselor | 234 Elkhound Court, Union City, GA 30291 | 2018-04-03 |
| 1619221033 | Renee Anne Critten-young | Hospice Care, Community Based | 4788 Jonesboro Rd, Suite A, Union City, GA 30291 | 2012-11-07 |
| 1891066544 | Dena Renee White | Occupational Therapist | 9535 Lakeview Rd, Union City, GA 30291 | 2012-01-25 |
| 1841575354 | Latoya Winston | Skilled Nursing Facility | 3253 Diamond Blf, Union City, GA 30291 | 2011-10-15 |
| 1760558407 | Thelma Teresa Spears | Dentist | 4731 Jonesboro Rd, 220, Union City, GA 30291 | 2006-11-27 |
| 1629168208 | Wal-mart Stores East, Lp | Technician/Technologist | 4375 Jonesboro Rd., Union City, GA 30291 | 2006-10-13 |
| 1780798314 | Va Hospital | Nursing Facility/Intermediate Care Facility | 7264 Madison Circle, Union City, GA 30291 | 2006-08-19 |
| 1841220944 | F & M Family Eyecare, LLC | Optometrist | 4375 Jonesboro Road, Union City, GA 30291 | 2006-07-04 |
| 1538367537 | Georgia Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 3940 Jonesboro Rd., Union City, GA 30291-0000 | 2007-07-11 |
| 1679819692 | To The Root of Things | Durable Medical Equipment & Medical Supplies | 6077 Bena Ct, Union City, GA 30291-1044 | 2012-12-19 |
| Find all providers in zip 30291 | ||||
| Taxonomy Code | 207QA0505X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Specialization | Adult Medicine |
| Definition to come. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831262252 | Leslie Simonson | Family Medicine | 415 43rd St, Union City, NJ 07087-5009 | 2006-11-15 |
| 1326181165 | Isabel Christina Tejeda | Family Medicine | 3553 Whipple Rd, Union City, CA 94587-1507 | 2007-02-14 |
| 1649298209 | Marie Agleham | Family Medicine | 3553 Whipple Rd, Union City, CA 94587-1507 | 2006-07-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306464250 | Leah Reed | Family Medicine | 2082 Cherokee Farms Cv, Buford, GA 30519-7004 | 2020-07-08 |
| 1083240766 | Carehere LLC | Family Medicine | 114 N Jackson St, Albany, GA 31701-2583 | 2020-03-13 |
| 1518590744 | Octavia Raquel Holloway-freeman | Family Medicine | 301 Denmark St, Statesboro, GA 30458-5208 | 2020-02-17 |
| 1891331575 | Jenna Barnes | Family Medicine | 1107 Memorial Dr Ste 300, Dalton, GA 30720-8664 | 2019-11-18 |
| 1023651205 | Carehere LLC | Family Medicine | 750 S Perry St Ste 200, Lawrenceville, GA 30046-4804 | 2019-10-21 |
| 1003385733 | James G Hamilton Jr Md LLC | Family Medicine | 4898 Highway 197, Mount Airy, GA 30563-2442 | 2018-11-26 |
| 1780161323 | Personal Wellness Inc. | Family Medicine | 625 Boxwood Ter, Johns Creek, GA 30005-7217 | 2018-07-26 |
| 1073005138 | Lake Oconee Wellness Associates LLC | Family Medicine | 1097 Lake Oconee Pkwy Ste 201, Eatonton, GA 31024-9510 | 2018-06-05 |
| 1376034983 | Lee Pennington Mcnichols | Family Medicine | 2300 Bethelview Rd Ste 110-332, Cumming, GA 30040-9475 | 2018-05-21 |
| 1972021301 | Docpecox, LLC | Family Medicine | 755 Mount Vernon Hwy Ne Ste 350, Atlanta, GA 30328-4291 | 2017-09-06 |
| Find all providers with the same taxonomy | ||||
| City | UNION CITY |
| Zip Code | 30291 |
Please comment or provide details below to improve the information on DR. KENNETH E JONES.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.