Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Kylie Renee Jones

Individual provider Physician Assistant · NPI 1407571110

Kylie Renee Jones is a Physician Assistant in Stockbridge, Georgia. Qualified in 2023, 3 years ago. Practices with Southeast Medical Group, PC, a 138-clinician group and accepts Medicare assignment.

Years since qualifying
3
In the registry since
2022
Claim this listing Report a problem Suggest an edit

Practice location Address checks out

1035 Southcrest Dr Ste 200
Stockbridge, GA 30281-6116
Phone: (770) 474-5302
Fax: (770) 474-1275
Show map & directions

Directions in Google Maps · Apple Maps · OpenStreetMap

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physician Assistant (primary) Taxonomy 363A00000X

Record details

NPI number1407571110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorYes
NPI enumeratedOctober 5, 2022
Last updated in NPPESMay 9, 2024
Certification dateMay 9, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICIAN ASSISTANT
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Southeast Medical Group, P.C. — 138 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations4 on file with Medicare

Other providers in Stockbridge