Individual provider Active NPI

Robert Kennedy

  • Internal Medicine Physician
  • Huntsville, AL
National Provider Identifier
1487278909
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Internal Medicine PhysicianTaxonomy code 207R00000X
License
4115 Issued in AL
Practice address
201 Sivley Rd SW Ste 440
Huntsville, AL 35801-5165
Phone
(256) 265-0780
NPI assigned
Jun 1, 2020
Last updated
Jul 23, 2025By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Internal Medicine Physician 207R00000X 96084 GA
Internal Medicine Physician 207R00000X 11874 GA
Internal Medicine Physician 207R00000X 4115 AL Primary

Addresses

Primary practice location

201 Sivley Rd SW Ste 440
Huntsville, AL 35801-5165

Mailing address

1120 15TH St # Or6000
Augusta, GA 30912-0004
Phone (706) 721-3813

Other practice location 1

1120 15th St
Augusta, GA 30912-0004
Phone (706) 721-8623

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GA, AL2 enrollments
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 2

Enrollment IDStateProvider typePAC IDDetails
I20230823001096 GA Practitioner - Internal Medicine 0648693986 Reassigns benefits to 1 organization
I20250711002756 AL Practitioner - Internal MedicinePractitioner - Endocrinology 0648693986 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Internal MedicineAlso: Endocrinology
Education
Lincoln Mem Univ, Debusk Col of Osteopathic Med, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
HH Physicians NetworkGroup PAC ID 6901132448, 107 clinicians

Practice addresses (Care Compare)

201 Sivley Rd SW
Suite 440
Huntsville, AL 35801-5165
Phone (256) 265-0780

Hospital & facility affiliations

Merit-based Incentive Payment System (MIPS)

Final score
93.93 of 100Reported as apm
Quality
82.14
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Osteopathy

State licenses

LicenseStateTypeSpecialty
11874GAMDPharmacist
4115ALMDInternal Medicine Physician
96084GAMDInternal Medicine Physician

Practice roles

OrganizationSpecialtyStatusNew patients
Au Medical Associates Inc CurrentSince Aug 1, 2023 Accepting new patients
Au Medical Associates Inc CurrentSince Aug 1, 2023 Accepting new patients
HH Physicians Network Internal Medicine CurrentSince Jun 1, 2025 Accepting new patients
Huntsville Hospital Endocrine and Diabetes Clinic CurrentSince Jun 1, 2025 Accepting new patients
August University - Medical College of Georgia Internal Medicine PastSince Jul 2, 2023 Accepting new patients

Locations

201 Sivley Rd SW
Ste 440
Huntsville, AL 35801
Phone (256) 265-0780

1041 Balch Rd
Ste 350
Madison, AL 35758
Phone (256) 265-5951

1120 15th St
Augusta, GA 30912
Phone (706) 721-3873

1120 15th St
#6000
Augusta, GA 30912
Phone (706) 721-3813

1120 15th St
#5070
Augusta, GA 30912
Phone (706) 721-2423

Organizations & group practices 5

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

Hospital & facility affiliations 4

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": "1590969600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753228800000",
    "number": "1487278909",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1120 15TH ST # OR6000",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309120004",
            "telephone_number": "706-721-3813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SIVLEY RD SW STE 440",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358015165",
            "telephone_number": "256-265-0780"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1120 15th St",
            "address_purpose": "LOCATION",
            "city": "Augusta",
            "state": "GA",
            "postal_code": "309120004",
            "country_code": "US",
            "telephone_number": "706-721-8623",
            "fax_number": "706-721-1459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "ROBERT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-06-01",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "96084",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "GA",
            "license": "11874",
            "primary": false
        },
        {
            "code": "207R00000X",
            "taxonomy_group": "",
            "desc": "Internal Medicine",
            "state": "AL",
            "license": "4115",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

Verify at the official NPI Registry.