Individual provider Active NPI

Kyndall Scott Denney, PA

  • Primary Care Clinic/Center
  • Leesburg, GA
National Provider Identifier
1104530740
Registry record updated Oct 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Practice address
101 Oakland Crossing Dr
Leesburg, GA 31763-7228
Phone
(229) 432-1440
NPI assigned
Jan 9, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 14, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X Primary

Addresses

Primary practice location

101 Oakland Crossing Dr
Leesburg, GA 31763-7228

Mailing address

100 Ashley CT
Leesburg, GA 31763-7212
Phone (229) 886-3962

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230418002848 GA Practitioner - Physician Assistant 6103291448 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2022
Medicare assignment
May accept Medicare assignment
Telehealth
Offers telehealth services

Practice addresses (Care Compare)

101 Oakland Crossing Dr
Leesburg, GA 31763-7228

Hospital & facility affiliations

  • Phoebe Putney Memorial Hospital Hospital, Albany, GA, CCN 110007

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Physician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Medical Associates of Albany, P.C. CurrentSince Nov 3, 2025 Accepting new patients
Medical Associates of Albany, PC Past Accepting new patients

Locations

2002 Palmyra Rd
Ste 101
Albany, GA 31701
Phone (229) 432-1440

101 Oakland Crossing Dr
Leesburg, GA 31763
Phone (229) 432-1440

Interoperability endpoints

  • Direct secure messaging: kyndall.scott.1@8478.direct.athenahealth.com
  • Direct secure messaging: kyndall.scott@phoebehealth.gadirect.net

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Hospital & facility affiliations 1

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1673222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1760400000000",
    "number": "1104530740",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 ASHLEY CT",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317637212",
            "telephone_number": "229-886-3962"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 OAKLAND CROSSING DR",
            "city": "LEESBURG",
            "state": "GA",
            "postal_code": "317637228",
            "telephone_number": "229-432-1440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DENNEY",
        "first_name": "KYNDALL",
        "middle_name": "SCOTT",
        "credential": "PA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-01-09",
        "last_updated": "2025-10-14",
        "certification_date": "2025-10-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, GA

Sources for this page

Verify at the official NPI Registry.