Individual provider Active NPI

Gregory Kennedy

  • Colon & Rectal Surgery Physician
  • Birmingham, AL
National Provider Identifier
1689622185
Registry record updated Jun 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Colon & Rectal Surgery PhysicianTaxonomy code 208C00000X
License
34938 Issued in AL
Practice address
1717 6TH Ave S
Birmingham, AL 35233-1801
Phone
(800) 822-8816
NPI assigned
May 5, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Colon & Rectal Surgery Physician 208C00000X 34938 AL Primary

Addresses

Primary practice location

1717 6TH Ave S
Birmingham, AL 35233-1801

Mailing address

1717 6TH Ave S
Birmingham, AL 35233-1801

Other practice location 1

2000 6th Ave S
Birmingham, AL 35233-2110
Phone (205) 975-3000

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address gkennedy@direct.uabmedicine.org Direct University of Alabama Hospital

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL, IA2 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

Enrollment IDStateProvider typePAC IDDetails
I20160314002186 AL Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6608870514 Reassigns benefits to 6 organizations
I20260107002112 IA Practitioner - Colorectal Surgery (Proctology)Practitioner - General Surgery 6608870514 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Colorectal Surgery (Proctology)Also: General Surgery
Education
University of Washington School of Medicine, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
University of Alabama Health Services Foundation, PCGroup PAC ID 1951213107, 2,784 clinicians
Iowa Physicians Clinic Medical FoundationGroup PAC ID 8729992318, 1,254 clinicians

Practice addresses (Care Compare)

2000 6TH Ave S
Birmingham, AL 35233-2110
Phone (205) 937-9999

4480 Utica Ridge Rd
Bettendorf, IA 52722-1644

600 S 3Rd St
Gadsden, AL 35901-5304
Phone (256) 467-4731

619 19TH St S
Birmingham, AL 35249-1900
Phone (205) 934-4011

700 E Uinversity Ave
Des Moines, IA 50316-2302

Hospital & facility affiliations

  • University of Alabama Hospital Hospital, Birmingham, AL, CCN 010033
  • Riverview Regional Medical Center Hospital, Gadsden, AL, CCN 010046

Procedures performed for Medicare patients

ProcedureNumber of procedures
Colonoscopy14
Hernia repair - groin (open)1-10

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Doctor of Medicine

Practice roles

OrganizationSpecialtyStatusNew patients
Prime Healthcare Services-Gadsden Physician Management LLC CurrentSince Aug 1, 2024 Accepting new patients
University of Alabama Health Services Foundation, PC. CurrentSince Apr 1, 2016 Accepting new patients
Russell Hospital Corporation CurrentSince Apr 2, 2017 Accepting new patients
Tombigbee Healthcare Authority CurrentSince Sep 1, 2020 Accepting new patients
The Bibb County Healthcare Authority CurrentSince Mar 25, 2024 Accepting new patients
Tombigbee Healthcare Authority Surgery CurrentSince Sep 1, 2020 Accepting new patients
NWMC Winfield Physicians LLC Surgery CurrentSince Aug 1, 2022 Accepting new patients
Tombigbee Healthcare Authority Current Accepting new patients
Iowa Physicians Clinic Medical Foundation Surgery CurrentSince Feb 2, 2026 Accepting new patients
Russell Hospital Corporation CurrentSince Apr 2, 2017 Accepting new patients
The Bibb County Health Care Authority CurrentSince Mar 25, 2024 Accepting new patients
University of Alabama at Birmingham Past Accepting new patients

Locations

3368 Highway 280
Ste 209
Alexander City, AL 35010
Phone (254) 215-7474

1717 6th Ave S
Birmingham, AL 35233
Phone (205) 934-3450

2000 6th Ave S
Birmingham, AL 35233
Phone (205) 731-9396

619 19th St S
#428
Birmingham, AL 35249

1720 2nd Ave S
#428
Birmingham, AL 35294

619 19th St S
Birmingham, AL 35233
Phone (205) 934-6405

619 19th St S
Birmingham, AL 35249

208 Pierson Ave
Centreville, AL 35042
Phone (205) 926-3230

105 US Highway 80 E
Demopolis, AL 36732
Phone (334) 287-2669

105 US Highway 80 E
Ste 230
Demopolis, AL 36732
Phone (334) 287-2840

600 S 3rd St
Gadsden, AL 35901
Phone (256) 543-5200

1642A Pelham Rd S
Jacksonville, AL 36265
Phone (256) 543-1222

1530 US Highway 43
Winfield, AL 35594
Phone (205) 487-7000

125 Henry Ln
Winfield, AL 35594
Phone (205) 487-1260

200 Carraway Dr
Ste B2
Winfield, AL 35594
Phone (205) 487-2004

4480 Utica Ridge Rd
Ste 160
Bettendorf, IA 52722
Phone (563) 742-5950

4480 Utica Ridge Rd
Ste 2230
Bettendorf, IA 52722
Phone (563) 742-5150

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/EBBFBD
  • FHIR API: https://api.platform.athenahealth.com/10998/brand/1/csg/1/fhir/r4

Organizations & group practices 12

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.

Hospital & facility affiliations 4

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

NPI Registry JSON

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

{
    "created_epoch": "1146787200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1687996800000",
    "number": "1689622185",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1717 6TH AVE S",
            "city": "BIRMINGHAM",
            "state": "AL",
            "postal_code": "352331801",
            "telephone_number": "800-822-8816"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2000 6th Ave S",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352332110",
            "country_code": "US",
            "telephone_number": "205-975-3000",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KENNEDY",
        "first_name": "GREGORY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-05",
        "last_updated": "2023-06-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208C00000X",
            "taxonomy_group": "",
            "desc": "Colon & Rectal Surgery",
            "state": "AL",
            "license": "34938",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "gkennedy@direct.uabmedicine.org",
            "affiliation": "Y",
            "affiliationName": "University of Alabama Hospital",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "2000 6th Ave S",
            "city": "Birmingham",
            "state": "AL",
            "country_code": "US",
            "postal_code": "352332110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Birmingham, AL

Sources for this page

Verify at the official NPI Registry.