Active NPI
John P Kendrick, MD
- Orthopaedic Surgery Physician
- Valdosta, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopaedic Surgery Physician
- License
- 026883
- Practice address
- 3527 N Valdosta Rd
Valdosta, GA 31602-1068 - Phone
- (229) 247-2290
- Fax
- (229) 244-2626
- NPI assigned
- Jun 8, 2005
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Orthopaedic Surgery Physician | 207X00000X | 026883 | GA | Primary |
Addresses
Primary practice location
3527 N Valdosta Rd
Valdosta, GA 31602-1068
Mailing address
3527 N Valdosta Rd
Valdosta, GA 31602-1068
Phone (229) 247-2290
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 375260700 | Medicaid | FL | |
| 00327973B | Medicaid | GA |
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: Yes
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Orthopedic Surgery
- Education
- Medical College of Georgia School of Medicine, 1981
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2501 N Patterson St
Valdosta, GA 31602-1735
Phone (229) 433-1000
Hospital & facility affiliations
- SGMC Health
Procedures performed for Medicare patients
| Procedure | Number of procedures |
|---|---|
| Hip replacement | 1-10 |
| Removal of tissue | 1-10 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Doctor of Medicine
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 026883 | GA | MD | Orthopaedic Surgery Physician |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County Georgia | Current | Accepting new patients | |
| SGMC Affiliated Services LLC | Current | Accepting new patients | |
| Hospital Authority of Valdosta and Lowndes County, Georgia | Current | Accepting new patients | |
| SGMC Physician Network Inc | Current | Accepting new patients | |
| Voa Ambulatory Surgery Center | Current | Accepting new patients | |
| Valdosta Orthopedic Associates PC | Orthopaedic Surgery | Current | Accepting new patients |
Locations
260 Mj Taylor Rd
Adel, GA 31620
Phone (229) 247-2290
3527 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 247-2290
3526 N Crossing Cir
Valdosta, GA 31602
Phone (229) 247-2290
2501 N Patterson St
Valdosta, GA 31602
Phone (229) 259-4139
4280 N Valdosta Rd
Valdosta, GA 31602
Phone (229) 433-7350
3527 N Valdosta Rd
Ste B
Valdosta, GA 31602
Phone (229) 247-2290
Interoperability endpoints
- john.kendrick.1@11118.direct.athenahealth.com
- https://api.platform.athenahealth.com/11118/brand/4/csg/1/fhir/r4
- https://api.platform.athenahealth.com/11118/brand/5/csg/22/fhir/r4
Organizations & group practices 8
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.
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1417597170
-
- Orthopaedic Surgery Physician
- Valdosta, GA
- NPI 1053457457
-
- Ambulatory Surgical Clinic/Center
- Valdosta, GA
- NPI 1689736118
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1306896253
-
- Psychiatric Hospital Unit
- Valdosta, GA
- NPI 1033160791
-
- Rehabilitation Hospital Unit
- Valdosta, GA
- NPI 1467404046
-
- Ambulance
- Valdosta, GA
- NPI 1558141671
-
- Multi-Specialty Clinic/Center
- Valdosta, GA
- NPI 1114740362
Hospital & facility affiliations 1
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Valdosta, GA
- NPI 1144096553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1118188800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1214265600000",
"number": "1164426136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3527 N VALDOSTA RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021068",
"telephone_number": "229-247-2290",
"fax_number": "229-244-2626"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3527 N VALDOSTA RD",
"city": "VALDOSTA",
"state": "GA",
"postal_code": "316021068",
"telephone_number": "229-247-2290",
"fax_number": "229-244-2626"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KENDRICK",
"first_name": "JOHN",
"middle_name": "P",
"credential": "MD",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-06-08",
"last_updated": "2008-06-24",
"status": "A"
},
"taxonomies": [
{
"code": "207X00000X",
"taxonomy_group": "",
"desc": "Orthopaedic Surgery",
"state": "GA",
"license": "026883",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "375260700",
"state": "FL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "00327973B",
"state": "GA"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Valdosta, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.