Active NPI
Kennon Plummer, M.D.
- Pediatrics Physician
- Edgewater, MD
National Provider Identifier
1063616290
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- License
- D0065603
- Practice address
- 224 Mayo Rd
Edgewater, MD 21037-2951 - Phone
- (410) 956-6303
- Fax
- (410) 956-6637
- NPI assigned
- Jun 12, 2007
- Last updated
- Sep 16, 2026
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | D0065603 | MD | Primary |
Addresses
Primary practice location
224 Mayo Rd
Edgewater, MD 21037-2951
Mailing address
224 Mayo Rd
Edgewater, MD 21037-2951
Phone (410) 956-6303
Other names 1
- Kennon Harris
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| D0065603 | MD | MD | Pediatrics Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Azam Baig,M.D. | Past | Accepting new patients |
Interoperability endpoints
- kharris@southriverpediatrics.opdirect.net
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1181606400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1789516800000",
"number": "1063616290",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "224 MAYO RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372951",
"telephone_number": "410-956-6303",
"fax_number": "410-956-6303"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "224 MAYO RD",
"city": "EDGEWATER",
"state": "MD",
"postal_code": "210372951",
"telephone_number": "410-956-6303",
"fax_number": "410-956-6637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PLUMMER",
"first_name": "KENNON",
"name_prefix": "Dr.",
"credential": "M.D.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-06-12",
"last_updated": "2026-09-16",
"certification_date": "2026-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "",
"desc": "Pediatrics",
"state": "MD",
"license": "D0065603",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "KENNON",
"last_name": "HARRIS",
"credential": "M.D.",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Edgewater, MD
- Ana Maria A Phillips, LCSWC
- Kimberly Ann Phipps, OTR
- Stephanie Pierce, RN, MSN
- Pink Heart Health Services & Academy LLC (Cully's Caring Cove)
- Pioneer Medical Center Leading the Way in Healthcare
- Linda Anne Poore, OTR
- Neven A Popovic, M.D.
- Precision Orthopedics and Sports Medicine (Precision Orthopedics and Sports Medicine - Edgewater)
- Howard Ira Pressman, MD
- Connie Pritchard, DPT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.