| The Jones Clinic, LLC | |
|
815 Austin Dr Demorest GA 30535-4513 | |
| (706) 754-1034 | |
| (706) 754-1032 |
| Full Name | The Jones Clinic, LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 815 Austin Dr, Demorest, Georgia |
| Authorized Official Name and Position | Kecia J Jones (OWNER) |
| Authorized Official Contact | 7067541034 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Jones Clinic, LLC Po Box 550 Demorest GA 30535-0550 Ph: (706) 754-1034 | The Jones Clinic, LLC 815 Austin Dr Demorest GA 30535-4513 Ph: (706) 754-1034 |
| NPI Number | 1902925183 |
|---|---|
| Provider Enumeration Date | 03/28/2007 |
| Last Update Date | 10/14/2024 |
| Certification Date | 10/14/2024 |
| Medicare PECOS PAC ID | 3870667850 |
|---|---|
| Medicare Enrollment ID | O20080808000640 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902925183 | NPI | - | NPPES |
| 620650772A | Medicaid | GA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 055247 (Georgia) | Primary |
| Provider Name | Kecia J Jones |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1760410146 PECOS PAC ID: 3870597248 Enrollment ID: I20060828000314 |
| Provider Name | Kiley Allen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821837261 PECOS PAC ID: 9234672494 Enrollment ID: I20240617002773 |
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