Sheila Kennedy, MD | |
1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044-8182 | |
(678) 578-4983 | |
(678) 578-4988 |
Full Name | Sheila Kennedy |
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Gender | Female |
Speciality | Family Medicine |
Location | 1430 Five Forks Trickum Rd St 220, Lawrenceville, Georgia |
Accepts Medicare Assignments | Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs. |
Identifier | Type | State | Issuer |
---|---|---|---|
1013148626 | NPI | - | NPPES |
003140093B | Medicaid | GA | |
003140093A | Medicaid | GA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | 68227 (Georgia) | Primary |
390200000X | Student In An Organized Health Care Education/training Program | (New Jersey) | Secondary |
Entity Name | The Southeast Permanente Medical Group |
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Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1245266956 PECOS PAC ID: 6204829013 Enrollment ID: O20040407000370 |
Entity Name | Jambah Group, Llc |
---|---|
Entity Type | Part B Supplier - Clinic/group Practice |
Entity Identifiers | NPI Number: 1376849802 PECOS PAC ID: 1850565797 Enrollment ID: O20111110000787 |
Mailing Address | Practice Location Address |
---|---|
Sheila Kennedy, MD 2491 Panola Rd, Lithonia, GA 30058-4831 Ph: (678) 205-4999 | Sheila Kennedy, MD 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044-8182 Ph: (678) 578-4983 |
Kelsea Leverett, Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 908 Arbor Crowne Dr, Lawrenceville, GA 30045 Phone: 404-713-3985 | |
Dr. Carolyn Barnwell Petrey, DO Family Medicine Medicare: Not Enrolled in Medicare Practice Location: 696 Grayson Hwy, Family Practice Clinic Pc, Lawrenceville, GA 30046 Phone: 770-963-0927 Fax: 770-963-9772 | |
Dr. Sana Rabbi, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Office, Lawrenceville, GA 30046 Phone: 678-985-5000 | |
Dr. Eda Moonhi Kim, M.D. Family Medicine Medicare: Medicare Enrolled Practice Location: 1600 N Brown Rd, Lawrenceville, GA 30043 Phone: 678-710-6872 | |
Dr. Michael Curtis Cranford, DO Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 665 Duluth Hwy Ste 401, Lawrenceville, GA 30046 Phone: 678-312-0400 | |
Dr. Thenmozhi Singaram, MD Family Medicine Medicare: Accepting Medicare Assignments Practice Location: 455 Philip Blvd Ste 130, Kaiser Permanente Lawrenceville Medical Center, Lawrenceville, GA 30046 Phone: 678-985-5000 |