Jennifer Kendrick, D.M.D.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN014595 Issued in GA

Practice address

718 N Broad St
Cairo, GA 39828-1607

Phone

(229) 377-4204

NPI assigned

Jun 3, 2013

Last updated

Jun 3, 2013By 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

Not listed in the public Medicare enrollment file

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: No
• Hospice: Yes

Green means eligible to order or refer.

Opted out of Medicare

Yes, effective May 10, 2016 through May 10, 2028

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Jennifer W. Kendrick DMD, LLC

  dba Dental Associates of Southwest Georgia

  • General Practice Physician
  • Cairo, GA
  • NPI 1124845730
  NPD
• Dental Associates of Southwest Georgia, LLC

  • General Practice Dentistry
  • Cairo, GA
  • NPI 1104843861
  NPD (past)

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

{
    "created_epoch": "1370217600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1370217600000",
    "number": "1689011330",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "137 EDGEWOOD DR",
            "city": "THOMASVILLE",
            "state": "GA",
            "postal_code": "317924508"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "718 N BROAD ST",
            "city": "CAIRO",
            "state": "GA",
            "postal_code": "398281607",
            "telephone_number": "229-377-4204"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KENDRICK",
        "first_name": "JENNIFER",
        "name_prefix": "Dr.",
        "credential": "D.M.D.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-06-03",
        "last_updated": "2013-06-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN014595",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guy Johnson III, D.C.
• Kimberely Dawn Johnson, APRN, FNP-C
• Luisa Johnson, APRN
• Shenkia Isadora Johnson, LPN
• Katherine T Kelley, CRNA
• Kenneth Harrison Medical LLC
• Rachel S King, CCC-SLP
• April H Lee, PT
• Jennifer Leigh Lee, R.R.T.
• Laura Nichole Lee, FNP-C

• General Practice Dentistry in Cairo, GA
• Providers in Cairo, GA by specialty
• General Practice Dentistry in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2013; 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; Opt Out Affidavits.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.