Gene Scott Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

050645 Issued in GA

Practice address

101 Heron Walk
Saint Simons Island, GA 31522-2585

Phone

(912) 634-2651

Fax

(912) 634-2653

NPI assigned

Sep 20, 2006

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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

Green means eligible to order or refer.

Enrollment records 1

Specialty

Family PracticeAlso: Interventional Pain Management

Education

New York Medical College, 1992

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

Practice roles

Locations

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.

• Gene S. Kennedy M.D. P.C.

  • Family Medicine Physician
  • St Simons Island, GA
  • NPI 1528401056
  Medicare reassignment NPD

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

{
    "created_epoch": "1158710400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1255438214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "116 ASBURY ST",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222209",
            "telephone_number": "912-634-2651",
            "fax_number": "912-634-2653"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HERON WALK",
            "city": "SAINT SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315222585",
            "telephone_number": "912-634-2651",
            "fax_number": "912-634-2653"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "GENE",
        "middle_name": "SCOTT",
        "credential": "M.D.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-09-20",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "050645",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lindsey Gross Jones, PA-C
• Melissa A. Jones, LCSW
• Ronnie Brantley Jones Jr., MPT
• Sharon Blackwell Jones, LPC
• Alaina Marie Joyce, DPT, PT
• Meredith Ach Kidwell, PSC, CTRS
• Kelly M. Kruk, D.O., D.A.
• Kendra Lawrence, PTA
• Life's Answers Counseling Center
• Scott Lillibridge, MD

• Family Medicine Physician in St Simons Island, GA
• Providers in St Simons Island, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.

Verify at the official NPI Registry.