Active NPI
Denise Smith Kennedy, MD
- Family Medicine Physician
- Augusta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Family Medicine Physician
- License
- 43984
- Practice address
- 254 Furys Ferry Rd
Augusta, GA 30907-3118 - Phone
- (706) 986-0999
- NPI assigned
- Jun 9, 2006
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Family Medicine Physician | 207Q00000X | 43984 | GA | Primary |
Addresses
Primary practice location
254 Furys Ferry Rd
Augusta, GA 30907-3118
Mailing address
PO Box 2510
Evans, GA 30809-2510
Phone (706) 922-8251
Other practice location 1
3614 J Dewey Gray Cir Ste D
Augusta, GA 30909-6512
Phone (706) 868-7380
Other identifiers 5
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CH0654 | Other | GA | RR MEDICARE GROUP PIN |
| 00793955A | Medicaid | GA | |
| 10056139 | Other | GA | AMERIGROUP |
| 336987 | Other | GA | WELLCARE |
| G43984 | Medicaid | SC |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | denise.kennedy.1@26418.direct.athenahealth.com |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC, GA
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: Yes
Enrollment records 2
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20091027000667 | SC | Practitioner - Family Practice | 9335125350 | Reassigns benefits to 1 organization |
| I20100311000047 | GA | Practitioner - Family Practice | 9335125350 | Reassigns benefits to 1 organization |
Care Compare profile
Medicare Care Compare- Specialty
- Family Practice
- Education
- Medical College of Georgia School of Medicine, 1995
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Telehealth
- Offers telehealth services
- Group practices
- Center for Primary Care PCGeorgialina Physical Therapy Associates LLC
Practice addresses (Care Compare)
1043 Washington Rd
Thomson, GA 30824-7318
Phone (706) 595-1461
105 E Hugh St
North Augusta, SC 29841-2925
Phone 7066507799284
1321 Interstate Pkwy
Augusta, GA 30909-5626
Phone (706) 945-0810
1701 Magnolia Way
Suite 102
Augusta, GA 30909-9484
Phone (706) 922-6699
254 Furys Ferry Rd
Augusta, GA 30907-3118
Phone (706) 986-0999
3614 J Dewey Gray Cir
Suite D
Augusta, GA 30909-6512
Phone (706) 868-7380
363 N Belair Rd
Evans, GA 30809-3096
Phone (706) 650-7563
Hospital & facility affiliations
- Trinity Home Health
- Enhabit Home Health
- Centerwell Home Health
- Doctors Hospital
- Piedmont Augusta Hospital
- Wellstar MCG Health, Affiliated With Med Col
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Removal of skin lesions | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 43984 | GA | MD | Family Medicine Physician |
| 18787 | SC | MD | Nurse Practitioner |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Center for Primary Care PC | Family Medicine | Current | Accepting new patients |
| Au Medical Associates Inc | Past | Accepting new patients |
Locations
3614 J Dewey Gray Cir
Ste D
Augusta, GA 30909
Phone (706) 868-7380
254 Furys Ferry Rd
Augusta, GA 30907
Phone (706) 986-0999
363 N Belair Rd
Evans, GA 30809
Phone (706) 650-7563
105 E Hugh St
North Augusta, SC 29841
Phone (706) 650-7799
Organizations & group practices 4
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.
-
- Family Medicine Physician
- Evans, GA
- NPI 1316973472
Family Medicine, GA, SC
-
- Physical Therapist
- Augusta, GA
- NPI 1679286934
-
- Physical Therapy Clinic/Center
- North Augusta, SC
- NPI 1427164714
-
- Multi-Specialty Clinic/Center
- Augusta, GA
- NPI 1841230620
Hospital & facility affiliations 6
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- Home Health Agency
- Martinez, GA
- NPI 1174991038
-
- Home Health Agency
- Hartwell, GA
- NPI 1740268176
-
- Home Health Agency
- Statesboro, GA
- NPI 1942230750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149811200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1776384000000",
"number": "1104867191",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 2510",
"city": "EVANS",
"state": "GA",
"postal_code": "308092510",
"telephone_number": "706-922-8251",
"fax_number": "706-650-9540"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "254 FURYS FERRY RD",
"city": "AUGUSTA",
"state": "GA",
"postal_code": "309073118",
"telephone_number": "706-986-0999"
}
],
"practiceLocations": [
{
"address_1": "3614 J Dewey Gray Cir Ste D",
"address_purpose": "LOCATION",
"city": "Augusta",
"state": "GA",
"postal_code": "309096512",
"country_code": "US",
"telephone_number": "706-868-7380",
"fax_number": "706-868-7223",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "KENNEDY",
"first_name": "DENISE",
"middle_name": "SMITH",
"name_prefix": "Dr.",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-09",
"last_updated": "2026-04-17",
"certification_date": "2026-04-17",
"status": "A"
},
"taxonomies": [
{
"code": "207Q00000X",
"taxonomy_group": "",
"desc": "Family Medicine",
"state": "GA",
"license": "43984",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RR MEDICARE GROUP PIN",
"identifier": "CH0654",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00793955A",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIGROUP",
"identifier": "10056139",
"state": "GA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "WELLCARE",
"identifier": "336987",
"state": "GA"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "G43984",
"state": "SC"
}
],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "denise.kennedy.1@26418.direct.athenahealth.com",
"affiliation": "N",
"address_1": "254 Furys Ferry Rd",
"city": "Augusta",
"state": "GA",
"country_code": "US",
"postal_code": "309073118",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Augusta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
- 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.