KENNETH WAYNE JONES JR (MD) – Emergency Medicine Physician, NPI 1174567168
Emergency Medicine Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
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Provider Addresses for KENNETH WAYNE JONES JR (MD)
One Door Polk, 424, North Main Street, Cedartown, Polk County, Georgia, 30125, United States
CEDARTOWN, GA 301252644
Phone: (770) 748-2500
Type: Location
7 HUNTINGTON RD SW
ROME, GA 301656660
Phone: (706) 234-4479
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 3 Open Payments records for all available years, with a total value of $4,291.
Total Amount is formed as General ($4,291) + Research ($0) + Ownership ($0) = $4,291.
Last reported payment date: 2023-11-10 • Largest payer in this snapshot: STERIS CORPORATION ($4,260).
Total Amount
$4,291
General + Research + Ownership
Payments
3
Total payment records
General Amount
$4,291
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2023-11-10
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| STERIS CORPORATION | $4,260 |
| Intuitive Surgical, Inc. | $30 |
Medicare Enrollment & Revalidation
Source: CMS public data · Not endorsed by CMS ·
Educational use only—not medical, billing, or legal advice.
PECOS enrollment status
Participating (accepts Medicare assignment)
Enrollment effective: 2019-04-08
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Due date not assigned yet
CMS is tracking 2 Medicare enrollment records; no due dates published yet.
Enrollment records
2
Earliest due date
Not assigned (TBD)
CMS data updated
2026-06-01
Revalidation progress
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20100430000297 | I | Internal Medicine | GA | TBD |
| I20190408001722 | I | Emergency Medicine | AL | TBD |
What to do next
- No action required while the due date shows TBD.
- Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
- Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.
Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS
Medicare Utilization (FFS)
Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·
Educational use only—not medical, billing, or legal advice.
No Medicare fee-for-service utilization data available for this provider in our database.
Insurance plans in this area (ZIP 30125)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Nurse Practitioner | GA | |
| Nurse Practitioner | TN | |
| Nurse Practitioner | GA | |
| Emergency Medicine | GA | |
| Nurse Practitioner | TN | |
| Emergency Medicine | GA | |
| Family Practice, Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | GA | |
| Emergency Medicine | NC |
Reviews
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