Healthcare Provider Details

I. General information

NPI: 1609403997
Provider Name (Legal Business Name): KERI SHARDAY JONES MD
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/25/2020
Last Update Date: 10/15/2025
Certification Date: 10/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5001 HARDY ST
HATTIESBURG MS
39402-1308
US

IV. Provider business mailing address

5001 HARDY ST
HATTIESBURG MS
39402-1308
US

V. Phone/Fax

Practice location:
  • Phone: 601-296-3963
  • Fax: 601-268-8399
Mailing address:
  • Phone: 601-296-3963
  • Fax: 601-268-8399

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2085N0904X
TaxonomyNuclear Radiology Physician
License NumberV9341
License Number StateTX
# 2
Primary TaxonomyN
Taxonomy Code2085R0202X
TaxonomyDiagnostic Radiology Physician
License NumberV9341
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: