Active NPI
Kennedy Chizik
- Physician Assistant
- Hoover, AL
National Provider Identifier
1760201610
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physician Assistant
- License
- 2547
- Practice address
- 5356 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-5610 - Phone
- (205) 444-4858
- NPI assigned
- Oct 8, 2024
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physician Assistant | 363A00000X | 2547 | AL | Primary |
Addresses
Primary practice location
5356 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-5610
Mailing address
5356 Stadium Trace Pkwy Ste 200
Hoover, AL 35244-5610
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AL
- Eligible to order & refer
- Part B services: Yes
- Medical equipment: Yes
- Home health: Yes
- Power mobility devices: Yes
- Hospice: No
Enrollment records 1
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
Practice addresses (Care Compare)
5356 Stadium Trace Pkwy
Suite 200
Hoover, AL 35244-5610
Phone (205) 444-4858
Hospital & facility affiliations
- Coosa Valley Medical Center
- Princeton Baptist Medical Center
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Physician Assistant
Organizations & group practices 1
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.
-
- Rheumatology Physician
- Hoover, AL
- NPI 1841425451
Hospital & facility affiliations 2
Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.
-
- General Acute Care Hospital
- Birmingham, AL
- NPI 1164876546
-
- Rural Acute Care Hospital
- Sylacauga, AL
- NPI 1972527265
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1728345600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1744675200000",
"number": "1760201610",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5356 STADIUM TRACE PKWY STE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352445610"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5356 STADIUM TRACE PKWY STE 200",
"city": "HOOVER",
"state": "AL",
"postal_code": "352445610",
"telephone_number": "205-444-4858"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHIZIK",
"first_name": "KENNEDY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-08",
"last_updated": "2025-04-15",
"certification_date": "2025-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "363A00000X",
"taxonomy_group": "",
"desc": "Physician Assistant",
"state": "AL",
"license": "2547",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hoover, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2025; 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.