Donald F Kennedy Jr MD PC

Primary specialty

SpecialistTaxonomy code 174400000X

License

24278 Issued in GA

Legal business name

DONALD F KENNEDY JR MD PC

Practice address

825 S 1St St
Jesup, GA 31545-0209

Phone

(912) 427-7500

Fax

(912) 427-0200

NPI assigned

Mar 19, 2008

Last updated

Mar 19, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Donald F Kennedy II, MDNPI 1710947403

Title

Medical Doctor

Phone

(912) 427-7500

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Donald Franklin Kennedy Jr., M.D.

  • Surgery Physician
  • Reidsville, GA
  • NPI 1710947403

  Specialist

  NPD (past) Authorized official

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205884800000",
    "number": "1588835409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 563",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315980563",
            "telephone_number": "912-427-7500",
            "fax_number": "912-427-0200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "825 S 1ST ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315450209",
            "telephone_number": "912-427-7500",
            "fax_number": "912-427-0200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DONALD F KENNEDY JR MD PC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A",
        "authorized_official_last_name": "KENNEDY",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "MEDICAL DOCTOR",
        "authorized_official_telephone_number": "912-427-7500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "MD"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "GA",
            "license": "24278",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Stuart Diamant, M.D.
• Diversity Health Center Inc.
• Diversity Health Center Inc.
• Mackenzie Taylor Dixon, RBT
• Stephanie Rogers Doane, LMSW
• Tabitha Lynn Douglas, RBT
• Dr. Eddie D. Thomas, M.D.,P.C.
• Aaron Lawton Drew, PHARMD
• Kenzlee Dubberly
• Dva Healthcare Renal Care Inc (Jesup Dialysis)

• Specialist in Jesup, GA
• Providers in Jesup, GA by specialty
• Specialist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.