Phillip S Kennedy, MD

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

43985 Issued in GA

Practice address

3614 D J Dewey Gray Circle
Augusta, GA 30909

Phone

(706) 868-7380

Fax

(706) 868-7223

NPI assigned

Jun 9, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 6

Electronic endpoints 1

Medicare fee-for-service enrollment

Enrolled in SC, GA2 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

Specialty

Family Practice

Education

Medical College of Georgia School of Medicine, 1995

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Telehealth

Offers telehealth services

Group practices

Center for Primary Care PC 57 clinicians

Georgialina Physical Therapy Associates LLC 406 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Centerwell Home Health Home health agency, Statesboro, GA, CCN 117033
• Amedisys Home Health Care Home health agency, Augusta, GA, CCN 117081
• Enhabit Home Health Home health agency, Hartwell, GA, CCN 117069
• Doctors Hospital Hospital, Augusta, GA, CCN 110177
• Piedmont Augusta Hospital Hospital, Augusta, GA, CCN 110028
• Wellstar MCG Health, Affiliated With Med Col Hospital, Augusta, GA, CCN 110034

Procedures performed for Medicare patients

Medicare enrollment (NPD)

Enrolled

Credentials

Doctor of Medicine

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: phillip.kennedy.1@26418.direct.athenahealth.com

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.

• Center for Primary Care PC

  • Family Medicine Physician
  • Evans, GA
  • NPI 1316973472

  Family Medicine, GA, SC

  Medicare reassignment Care Compare group NPD
• Georgialina Physical Therapy Associates LLC

  • Physical Therapist
  • Augusta, GA
  • NPI 1679286934
  Care Compare group
• Georgialina Physical Therapy Associates LLC

  • Physical Therapy Clinic/Center
  • North Augusta, SC
  • NPI 1427164714
  Care Compare group
• Au Medical Associates Inc

  • Multi-Specialty Clinic/Center
  • Augusta, GA
  • NPI 1841230620
  NPD (past)

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

• Amedisys Georgia, L.L.C.

  • Home Health Agency
  • Augusta, GA
  • NPI 1952359705
  Care Compare affiliation
• Au Medical Center, Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1437135902

  Hospital

  Care Compare affiliation
• Caresouth HHA Holdings of Washington, LLC

  • Home Health Agency
  • Hartwell, GA
  • NPI 1740268176
  Care Compare affiliation
• Doctors Hospital of Augusta LLC

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1912951963

  Hospital

  Care Compare affiliation
• Healthfield of Statesboro, LLC

  • Home Health Agency
  • Statesboro, GA
  • NPI 1942230750
  Care Compare affiliation
• University Health Services,Inc

  • General Acute Care Hospital
  • Augusta, GA
  • NPI 1588665566

  Hospital

  Care Compare affiliation

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1776643200000",
    "number": "1609817618",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2510",
            "city": "EVANS",
            "state": "GA",
            "postal_code": "308092510",
            "telephone_number": "706-922-8251",
            "fax_number": "706-922-6695"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3614 D J DEWEY GRAY CIRCLE",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "30909",
            "telephone_number": "706-868-7380",
            "fax_number": "706-868-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "PHILLIP",
        "middle_name": "S",
        "name_prefix": "Dr.",
        "credential": "MD",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-09",
        "last_updated": "2026-04-20",
        "certification_date": "2026-04-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "43985",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AMERIGROUP",
            "identifier": "10056165",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "WELLCARE",
            "identifier": "336986",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GA MEDICAL LICENSE",
            "identifier": "43985",
            "state": null
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00793922A",
            "state": "GA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RR MEDICARE GROUP PIN",
            "identifier": "CH0654",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "G43985",
            "state": "SC"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "phillip.kennedy.1@26418.direct.athenahealth.com",
            "affiliation": "N",
            "address_1": "3614 D J Dewey Gray Circle",
            "city": "Augusta",
            "state": "GA",
            "country_code": "US",
            "postal_code": "30909",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Kenna S. Given, MD PC
• Bethany Kennedy, RPH, PHARMD
• Denise Smith Kennedy, MD
• Kaitlyn Kennedy, MD
• Mattie Elizabeth Kennedy, MD
• William Kennedy, LPC
• Kenneth D. Jones M.D., P.C.
• Ralph A Kenny
• Suzanne W. Kenrick, CTRS
• Amanda B Kent, M.D.

• All providers in Augusta, GA
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2026; 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.