Kenneth E Jones I
SOUTHSIDE MEDICAL CARE


Address: 6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538
Phone: 7709641400

Kenneth E Jones I (NPI# 1417018920, PAC ID# 2365429396) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is GENERAL PRACTICE.

Physician Overview

Nation Provider ID (NPI) 1417018920
PAC ID by PECOS 2365429396
Professional Enrollment ID I20040707000571
Full Name Kenneth E Jones I
Organization Legal Name SOUTHSIDE MEDICAL CARE
Address 6325 Shannon Pkwy
Suite D
Union City
GA 30291-1538
Phone Number 7709641400
Gender M
Credential MD
Medical School GEORGETOWN UNIVERSITY OF MEDICINE
Graduation Year 1978
Primary Specialty GENERAL PRACTICE
Group Practice PAC ID 9931180650
Number of Group Practice Members 2
Accepts Medicare Assignment Y

Claims Based Hospital Affiliation

Claim Control Number (CCN) Legal Business Name
110165 SOUTHERN REGIONAL MEDICAL CENTER
110115 WELLSTAR ATLANTA MEDICAL CENTER
110215 PIEDMONT FAYETTE HOSPITAL

Other Locations

Address Phone Organization
6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 7709641400 SOUTHSIDE MEDICAL CARE

Organization Information

Organization Legal Name SOUTHSIDE MEDICAL CARE
Physicians 1

Office Location

Street Address 6325 SHANNON PKWY
SUITE D
City UNION CITY
State GA
Zip 30291-1538

Physicians in the same zip code

Name Specialty Organization Address
Monique Nicole Batchelor Optometry 4735 Jonesboro Rd, Union City, GA 30291-1915
Fred O Osayi Optometry 4375 Jonesboro Rd, Union City, GA 30291-2001
Wanda Rainey Reed Clinical Social Worker Serenity Community Services 4405 Mall Blvd, Suite 310, Union City, GA 30291-2070
Lauryn Overstreet Clinical Social Worker Serenity Community Services 4405 Mall Blvd, Suite 310, Union City, GA 30291-2070
Melanie L. Ponder-wright Clinical Social Worker 4405 Mall Blvd, Union City, GA 30291-2070
Joan Don-pedro Clinical Psychologist Serenity Community Services 4405 Mall Blvd, Union City, GA 30291-2070
Lori Okun Chiropractic Dr Okun, PC 6703 Shannon, Suite 14, Union City, GA 30291-2073
Louis Okun Chiropractic Dr Okun, PC 6703 Shannon, Suite 14, Union City, GA 30291-2073
Rejina L Hendricksen Chiropractic Dr Okum, PC 6703 Shannon, Suite 14, Union City, GA 30291-2073
Velvet L Mcdonald Obstetrics/gynecology 6285 Shannon Pkwy, Union City, GA 30291-2081
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Competitor

Search similar physicians

City UNION CITY
Zip Code 30291
Specialty GENERAL PRACTICE
City + Specialty UNION CITY + GENERAL PRACTICE

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS)
Jurisdiction Medicare

This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.

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