Individual provider Active NPI

Sarah A Kennedy

  • Medical Physician Assistant
  • Athens, GA
National Provider Identifier
1679389399
Registry record updated Jan 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Medical Physician AssistantTaxonomy code 363AM0700X
Practice address
2375 W Broad St Ste G
Athens, GA 30606-3453
Phone
(706) 567-6151
NPI assigned
Dec 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 21, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Medical Physician Assistant 363AM0700X Primary

Addresses

Primary practice location

2375 W Broad St Ste G
Athens, GA 30606-3453

Mailing address

50 Birch Tree CT
Odenville, AL 35120-6889
Phone (205) 907-7187

Medicare participation

Medicare enrollment files
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: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20251110000125 GA Practitioner - Physician Assistant 0840780672 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physician Assistant
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Urgent Care of Oconee, LLCGroup PAC ID 5991090540, 14 clinicians

Practice addresses (Care Compare)

1690 Eatonton Rd
Madison, GA 30650-4628
Phone (706) 343-4044

2061 Experiment Station Rd
Watkinsville, GA 30677-5328

2061 Experiment Station Rd
Suite 505
Watkinsville, GA 30677-5327
Phone (706) 714-3562

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Urgent Care of Oconee, LLC CurrentSince Aug 1, 2025 Accepting new patients
Urgent Care of Oconee, LLC CurrentSince Aug 1, 2025 Accepting new patients

Locations

2375 W Broad St
Ste G
Athens, GA 30606
Phone (706) 567-6151

2061 Experiment Station Rd
Ste 505
Watkinsville, GA 30677
Phone (706) 310-0324

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1733443200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1737417600000",
    "number": "1679389399",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "50 BIRCH TREE CT",
            "city": "ODENVILLE",
            "state": "AL",
            "postal_code": "351206889",
            "telephone_number": "205-907-7187"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2375 W BROAD ST STE G",
            "city": "ATHENS",
            "state": "GA",
            "postal_code": "306063453",
            "telephone_number": "706-567-6151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "SARAH",
        "middle_name": "A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-12-06",
        "last_updated": "2025-01-21",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363AM0700X",
            "taxonomy_group": "",
            "desc": "Physician Assistant, Medical",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Athens, GA

Sources for this page

Verify at the official NPI Registry.