Pamela S. Kennedy, MD, P.a.

Primary specialty

Dermatology PhysicianTaxonomy code 207N00000X

License

ME 84319 Issued in FL

Legal business name

PAMELA S. KENNEDY, MD, P.A.

Practice address

1355 Thomaswood Drive
Tallahassee, FL 32308

Phone

(850) 656-4555

NPI assigned

Sep 26, 2011

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pamela Kennedy, M.D.NPI 1245296318

Title

Dermatologist

Phone

(850) 656-4555

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in FL

Enrollment records 1

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Pamela Schofield Kennedy, M.D.

  • Dermatology Physician
  • Tallahassee, FL
  • NPI 1245296318

  Dermatology, FL

  Medicare reassignment Care Compare group NPD Authorized official
• Joshua McDaniel, PA

  • Physician Assistant
  • Tallahassee, FL
  • NPI 1245999770

  FL

  Medicare reassignment Care Compare group NPD
• Erin Courtney, PA-C

  • Physician Assistant
  • Tallahassee, FL
  • NPI 1548024573

  FL

  Medicare reassignment Care Compare group
• Makynzie Noel Bass, PA-C

  • Physician Assistant
  • Graceville, FL
  • NPI 1821620816

  FL

  Medicare reassignment
• Jessica Anne Bussey, PA-C

  • Physician Assistant
  • Hudson, FL
  • NPI 1942750237

  FL

  Medicare reassignment
• Kelley Fogarty McGee, PA-C

  • Physician Assistant
  • Tallahassee, FL
  • NPI 1932332905

  FL

  Medicare reassignment
• Patricia Weed Parks, PA-C

  • Physician Assistant
  • Tallahassee, FL
  • NPI 1700254992

  FL

  Medicare reassignment

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1316995200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318291200000",
    "number": "1093098097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1355 THOMASWOOD DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-656-4555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1355 THOMASWOOD DRIVE",
            "city": "TALLAHASSEE",
            "state": "FL",
            "postal_code": "32308",
            "telephone_number": "850-656-4555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAMELA S. KENNEDY, MD, P.A.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-09-26",
        "last_updated": "2011-10-11",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "PAMELA",
        "authorized_official_title_or_position": "DERMATOLOGIST",
        "authorized_official_telephone_number": "850-656-4555",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "207N00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dermatology",
            "state": "FL",
            "license": "ME 84319",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE ID",
            "identifier": "15007",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2807050-00",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ankoma Omari Palmer
• John Palmer, MD
• Lucile Saxon Palmer, LCSW
• Luella Hill Palmer, RN BSN
• Richard Mark Palmer, M.D.
• Pams Helping Hands LLC
• Niraj P Pandit, MD
• Caroline Pangle
• Panhandle Medical and Rehabilitation Specialists LLC
• Olivia Pankalla

• All providers in Tallahassee, FL
• Dermatology Physician in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.