KEVIN O. KEOWN (NPI# 1083606800) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083606800 |
| Entity Type | Individual |
| Full Name | KEVIN O. KEOWN |
| Credential | M.D. |
| Practice Address |
330 Peachtree St Jesup GA 31545-0244 |
| Mailing Address |
330 Peachtree St P.o. Box 937 Jesup GA 31545-0244 |
| Practice Telephone | 9124276964 |
| Practice Fax Number | 9124270591 |
| Mailing Telephone | 9124276964 |
| Mailing Fax Number | 9124270591 |
| Enumeration Date | 2005-08-18 |
| Last Update Date | 2010-01-27 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 207Q00000X | Family Medicine | 29897 | GA | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00349489A | 05 |
| Street Address |
330 PEACHTREE ST |
| City | JESUP |
| State | GA |
| Zip Code | 31545-0244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407365265 | Jennifer Holly Jones | Nurse Practitioner | 330 Peachtree St, Jesup, GA 31545-0246 | 2017-09-25 |
| 1851730626 | Wayne Sjc Medical Group, LLC | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2013-06-14 |
| 1457632721 | Tandy M Smith | Nurse Practitioner | 330 Peachtree St, Jesup, GA 31545-0244 | 2011-08-31 |
| 1013026244 | Douglas P Hein | Orthopaedic Surgery | 330 Peachtree St, Suite 2, Jesup, GA 31545-0244 | 2006-08-30 |
| 1114962487 | Wayne Family Practice Associates, P.C. | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2006-06-19 |
| 1831181403 | Robert L. Phillips | Family Medicine | 330 Peachtree St, Jesup, GA 31545-0244 | 2005-08-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154922441 | Southern Pharmacy Group LLC | Pharmacy | 110 Allison St., Jesup, GA 31545 | 2020-11-04 |
| 1093350118 | Joseph Hires | Physical Therapist | 1064 N Macon St, Jesup, GA 31545 | 2019-11-13 |
| 1952866279 | Scott's Transportation of Georgia, LLC | Non-emergency Medical Transport (VAN) | 3670 Waycross Hwy, Jesup, GA 31545 | 2019-02-01 |
| 1386035335 | Shane's Crib | Substance Abuse Rehabilitation Facility | 1303 South 1st Street, Jesup, GA 31545 | 2015-02-12 |
| 1770839607 | Sandra L. Mager, M.d.p.c. | Obstetrics & Gynecology | 114 W. Cherry Street, Jesup, GA 31545 | 2012-07-30 |
| 1427318617 | Crandall Eye Physicians and Surgeons LLC | Ophthalmology | 136 W. Cherry St., Jesup, GA 31545 | 2012-05-21 |
| 1356615934 | Andrea Brooke Meeks | Assistant Behavior Analyst | 1316 W Orange St, Jesup, GA 31545 | 2012-02-29 |
| 1932419736 | Wilma R Cote | Nurse Practitioner | 391 South First St., Jesup, GA 31545 | 2010-10-14 |
| 1205144425 | Air Evac Ems Inc | Ambulance | 148 Peach Tree Street, Jesup, GA 31545 | 2010-09-22 |
| 1881911451 | Surgery Center of Bji, LLC | Clinic/Center | 112 Professional Court, Jesup, GA 31545 | 2010-04-22 |
| Find all providers in zip 31545 | ||||
| Taxonomy Code | 207Q00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | Family Medicine |
| Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
| Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386201333 | People's Memorial Hospital | Family Medicine | 211 South Street West, Jesup, IA 50648 | 2019-05-24 |
| 1659676989 | Golden Isles Family Practice | Family Medicine | 142 S Brunswick St, Jesup, GA 31546-4668 | 2011-01-18 |
| 1841204377 | Kevin T Brown | Family Medicine | 1249 S 1st St, Jesup, GA 31545-7729 | 2006-07-28 |
| 1285696112 | Jeffrey L. Harris, Md, PC | Family Medicine | 371 Peachtree St, Jesup, GA 31545-0245 | 2006-04-05 |
| 1285695338 | Dorothy Karen Nelder | Family Medicine | 930 S 1st St, Jesup, GA 31545 | 2006-03-29 |
| 1306838974 | William V. Headley Jr. | Family Medicine | 825 S 1st St, Jesup, GA 31545-0209 | 2005-08-18 |
| 1205832227 | Randy Lentz | Family Medicine | 182 Sunset Blvd, Jesup, GA 31545-0401 | 2005-06-23 |
| 1003449968 | Lentz Urgent Care & Family Med, Inc | Family Medicine | 182 Sunset Blvd, Jesup, GA 31545-0401 | 2020-02-19 |
| 1952870487 | Southern Family Medicine, LLC | Family Medicine | 999 S Macon St, Jesup, GA 31545-0240 | 2018-11-14 |
| 1255706446 | Megan E Mizell | Family Medicine | 391 S 1st St, Jesup, GA 31545-1132 | 2015-12-14 |
| Find all providers in JESUP | ||||
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| 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.