Dr Phillip S Kennedy, MD | |
3614 D J Dewey Gray Circle, Augusta, GA 30909 | |
(706) 868-7380 | |
(706) 868-7223 |
Full Name | Dr Phillip S Kennedy |
---|---|
Gender | Male |
Speciality | Family Practice |
Experience | 29 Years |
Location | 3614 D J Dewey Gray Circle, Augusta, Georgia |
Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
Identifier | Type | State | Issuer |
---|---|---|---|
1609817618 | NPI | - | NPPES |
00793922A | Medicaid | GA | |
336986 | Other | GA | WELLCARE |
G43985 | Medicaid | SC | |
043985 | Other | GA | LICENSE |
CH0654 | Other | GA | RR MEDICARE GROUP PIN |
10056165 | Other | GA | AMERIGROUP |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 043985 (Georgia) | Primary |
Facility Name | Location | Facility Type |
---|---|---|
Amedisys Home Health Care | Augusta, GA | Home health agency |
Doctors Hospital | Augusta, GA | Hospital |
University Hospital | Augusta, GA | Hospital |
Group Practice Name | Group PECOS PAC ID | No. of Members |
---|---|---|
Center For Primary Care Pc | 4385633247 | 47 |
Center For Primary Care Pc | 4385633247 | 47 |
Entity Name | Center For Primary Care Pc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1316973472 PECOS PAC ID: 4385633247 Enrollment ID: O20040628001320 |
Mailing Address | Practice Location Address |
---|---|
Dr Phillip S Kennedy, MD Po Box 2510, Evans, GA 30809-2510 Ph: (706) 922-8251 | Dr Phillip S Kennedy, MD 3614 D J Dewey Gray Circle, Augusta, GA 30909 Ph: (706) 868-7380 |
Dr. Toya Hester Kelley, MD Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-3157 | |
Janis S. Coffin, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-4588 Fax: 706-721-7264 | |
Dr. Thomas Christopher Smith, M.D. Family Medicine Medicare: May Accept Medicare Assignments Practice Location: 1701 Magnolia Way Ste 101, Augusta, GA 30909 Phone: 706-922-6600 Fax: 706-650-0239 | |
Dr. William Robert Rout, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 963 Bennock Mill Dr., Augusta, GA 30906 Phone: 352-538-5899 | |
Racquel Puranda, MD Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 678-790-0634 | |
Angela Overstreet Wright, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 2607 Commons Blvd, Augusta, GA 30909 Phone: 706-750-8601 | |
Shahed Anam Ibn Faruk, Family Medicine Medicare: Medicare Enrolled Practice Location: 1120 15th St, Augusta, GA 30912 Phone: 706-721-2273 |