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.
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 |
Claim Control Number (CCN) | Legal Business Name |
---|---|
110165 | SOUTHERN REGIONAL MEDICAL CENTER |
110115 | WELLSTAR ATLANTA MEDICAL CENTER |
110215 | PIEDMONT FAYETTE HOSPITAL |
Address | Phone | Organization |
---|---|---|
6325 Shannon Pkwy, Suite D, Union City, GA 30291-1538 | 7709641400 | SOUTHSIDE MEDICAL CARE |
Organization Legal Name | SOUTHSIDE MEDICAL CARE |
Physicians | 1 |
Street Address |
6325 SHANNON PKWY SUITE D |
City | UNION CITY |
State | GA |
Zip | 30291-1538 |
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 | |
Find all physicians in zip 30291 |
City | UNION CITY |
Zip Code | 30291 |
Specialty | GENERAL PRACTICE |
City + Specialty | UNION CITY + GENERAL PRACTICE |
Please comment or provide details below to improve the information on Kenneth E Jones I.
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.