Audra Kennedy, M.D.

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

S4508 Issued in TX

Practice address

820 Montgomery Rd Ste 202
Graham, TX 76450-4200

Phone

(940) 549-7741

Fax

(855) 615-3435

NPI assigned

Jul 26, 2016

Last updated

Aug 8, 2023By the provider in NPPES

Sex

Female

Sole proprietor

No

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 TX

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 Practice

Education

University of Nebraska College of Medicine, 2016

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Hospital & facility affiliations

• Beyondfaith Homecare & Rehab of Graham LLC Home health agency, Graham, TX, CCN 677917
• Graham Regional Medical Center Hospital, Graham, TX, CCN 671300
• Hamilton Hospital Hospital, Olney, TX, CCN 451354

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: akennedy@direct-address.net
• FHIR API: https://api.platform.athenahealth.com/5873/brand/1/csg/1/fhir/r4

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.

• Graham Emergency Services

  dba Graham General Hospital Physicians

  • Orthopaedic Surgery Physician
  • Graham, TX
  • NPI 1801054200
  Medicare reassignment
• Graham Hospital District

  • Surgery Physician
  • Graham, TX
  • NPI 1972950467
  Medicare reassignment
• Graham Hospital District

  dba dba: Young County Family Clinic

  • Rural Health Clinic/Center
  • Graham, TX
  • NPI 1922057561

  Family Medicine

  NPD
• Graham Regional Medical Center

  dba Jacksboro Rural Health Clinic

  • General Acute Care Hospital
  • Jacksboro, TX
  • NPI 1003965260
  NPD (past)
• Jackson County Memorial Hospital Authority

  • General Acute Care Hospital
  • Altus, OK
  • NPI 1093763781
  NPD (past)

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Beyondfaith Homecare & Rehab of Graham, LLC

  dba BeyondFaith Homecare & Rehab of Graham

  • Home Health Agency
  • Graham, TX
  • NPI 1619928959
  Care Compare affiliation
• Graham Hospital District

  dba Graham Regional Medical Center

  • Critical Access Hospital
  • Graham, TX
  • NPI 1063113983
  Care Compare affiliation
• Olney-Hamilton Hospital District

  dba Olney Hamilton Hospital

  • Critical Access Hospital
  • Olney, TX
  • NPI 1134137466
  Care Compare affiliation

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1609329671",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "820 MONTGOMERY RD STE 202",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504200",
            "telephone_number": "940-549-7741",
            "fax_number": "855-615-3435"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "820 MONTGOMERY RD STE 202",
            "city": "GRAHAM",
            "state": "TX",
            "postal_code": "764504200",
            "telephone_number": "940-549-7741",
            "fax_number": "855-615-3435"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "AUDRA",
        "credential": "M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2023-08-08",
        "certification_date": "2022-06-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "TX",
            "license": "S4508",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Loneta Shawn Jones, LMT
• Steven Kent Jones, MD
• Roy B Jordan, RPH
• Christine Liz Joseph, PHARM.D.
• Victoria Clarke Keller, P.T.
• Edward Stanton Key, D.D.S., M.S.
• Sharla Kay King
• Frederick Koberg, M.D.
• Thomas Earl Labbe, O.D.
• Lisa Gaye Lacher

• Family Medicine Physician in Graham, TX
• Providers in Graham, TX by specialty
• Family Medicine Physician in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; 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.