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NPISignal

Individual Healthcare Provider

Keziah Jones, PH.D.

NPI Record: ActiveClinical Nurse Specialist — Community Health/Public Health
NPI1104325653
Fairburn, Georgia

Provider's NPPES record last updated: February 9, 2018

Overview

Entity Type
Individual Healthcare Provider
NPI
1104325653
Primary Specialty
Clinical Nurse Specialist — Community Health/Public Health
Practice Location
Fairburn, Georgia
Sole Proprietor
Yes

Federal Screening

NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.

List of Excluded Individuals/Entities (LEIE)

HHS Office of Inspector General

No potential match identified

No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.

Source data
September 10, 2026
Records indexed
84,001
Screened
Sep 17, 2026, 10:02 PM UTC

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

SAM.gov Exclusions

U.S. General Services Administration

Not checked

SAM.gov Exclusions was not checked.

SAM.gov screening is not configured on this deployment. No SAM check has been performed.

Screened
Not checked

This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.

This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • Clinical Nurse Specialist

    Community Health/Public Health

    Physician Assistants & Advanced Practice Nursing Providers

    Primary

    Definition to come...

    Taxonomy code 364SC1501X
  • Counselor

    Behavioral Health & Social Service Providers

    A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.

    Taxonomy code 101Y00000X
  • Behavior Analyst

    Behavioral Health & Social Service Providers

    A behavior analyst is qualified by at least a master's degree and Behavior Analyst Certification Board certification and/or a state-issued credential (such as a license) to practice behavior analysis independently. Behavior analysts provide the required supervision to assistant behavior analysts and behavior technicians. A behavior analyst delivers services consistent with the dimensions of applied behavior analysis. Common services may include, but are not limited to, conducting behavioral assessments, analyzing data, writing and revising behavior-analytic treatment plans, training others to implement components of treatment plans, and overseeing implementation of treatment plans.

    Taxonomy code 103K00000X
  • Social Worker

    Behavioral Health & Social Service Providers

    A social worker is a person who is qualified by a Social Work degree, and licensed, certified or registered by the state as a social worker to practice within the scope of that license. A social worker provides assistance and counseling to clients and their families who are dealing with social, emotional and environmental problems. Social work services may be rendered to individuals, families, groups, and the public.

    Taxonomy code 104100000X
  • Nutritionist

    Nutrition, Education

    Dietary & Nutritional Service Providers

    Definition to come...

    Taxonomy code 133NN1002X
  • Registered Nurse

    Nursing Service Providers

    (1) A registered nurse is a person qualified by graduation from an accredited nursing school (depending upon schooling, a registered nurse may receive either a diploma from a hospital program, an associate degree in nursing (A.D.N.) or a Bachelor of Science degree in nursing (B.S.N.), who is licensed or certified by the state, and is practicing within the scope of that license or certification. R.N.'s assist patient in recovering and maintaining their physical or mental health. They assist physicians during treatments and examinations and administer medications. (2) A provider who is trained and educated in a formal nursing education program at an accredited school of nursing, passes a national certification examination, and is licensed by the state to practice nursing. The individual provides nursing services to patients or clients in areas such as health promotion, disease prevention, acute and chronic care and restoration and maintenance of health across the life span.

    Taxonomy code 163W00000X
  • Registered Nurse

    Case Management

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC0400X
  • Registered Nurse

    Community Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC1500X
  • Registered Nurse

    Continuing Education/Staff Development

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WC1600X
  • Registered Nurse

    General Practice

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WG0000X
  • Registered Nurse

    Home Health

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WH0200X
  • Registered Nurse

    Nutrition Support

    Nursing Service Providers

    Definition to come...

    Taxonomy code 163WN1003X
  • Naturopath

    Other Service Providers

    Diagnoses, treats, and cares for patients, using system of practice that bases treatment of physiological functions and abnormal conditions on natural laws governing human body: Utilizes physiological, psychological, and mechanical methods, such as air, water, light, heat, earth, phototherapy, food and herb therapy, psychotherapy, electrotherapy, physiotherapy, minor and orificial surgery, mechanotherapy, naturopathic corrections and manipulation, and natural methods or modalities, together with natural medicines, natural processed foods, and herbs and nature's remedies. Excludes major surgery, therapeutic use of x ray and radium, and use of drugs, except those assimilable substances containing elements or compounds which are components of body tissues and are physiologically compatible to body processes for maintenance of life.

    Taxonomy code 175F00000X
  • Clinical Nurse Specialist

    Holistic

    Physician Assistants & Advanced Practice Nursing Providers

    Definition to come...

    Taxonomy code 364SH1100X
  • Prevention Professional

    Other Service Providers

    Prevention Professionals work in programs aimed to address specific patient needs, such as suicide prevention, violence prevention, alcohol avoidance, drug avoidance, and tobacco prevention. The goal of the program is to reduce the risk of relapse, injury, or re-injury of the patient. Prevention Professionals work in a variety of settings and provide appropriate case management, mediation, referral, and mentorship services. Individuals complete prevention professionals training for the population of patients with whom they work.

    Taxonomy code 405300000X

Provider-Reported License Information

Clinical Nurse Specialist (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Registered Nurse (Georgia)
RN227487
Clinical Nurse Specialist (Georgia)
RN227487
Prevention Professional (Georgia)
RN227487
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

15 Duke Ct

Fairburn, Georgia 30213-8300

Phone: (813) 205-8901

Record Information

Enumeration Date
February 9, 2018
Provider's NPPES Record Last Updated
February 9, 2018
NPISignal NPPES Dataset
August 2026

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