Physician Management Services of Eastern Georgia, LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

049380 Issued in GA

Legal business name

PHYSICIAN MANAGEMENT SERVICES OF EASTERN GEORGIA, LLC

Practice address

410 Peachtree Pkwy
Suite 4260
Cumming, GA 30041-7066

Phone

(888) 829-8550

NPI assigned

Mar 16, 2017

Organization subpart

Yes

Parent organization

VAXCARE CORPORATIONAs reported in NPPES

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

Authorized official

Name

Brett Kenefick

Title

President

Phone

(888) 829-8550

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Part of

Vaxcare Corporation

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

• Vaxcare LLC

  dba VaxCare

  • Family Medicine Physician
  • Orlando, FL
  • NPI 1316058217

  Member Of

  NPD member

Locations

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

{
    "created_epoch": "1489622400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1784851200000",
    "number": "1780125294",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "800 N MAGNOLIA AVE STE 700",
            "address_2": "SUITE 250",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328033264",
            "telephone_number": "888-829-8550"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "410 PEACHTREE PKWY",
            "address_2": "SUITE 4260",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300417066",
            "telephone_number": "888-829-8550"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "700 Sunset Dr Ste 400A",
            "address_purpose": "LOCATION",
            "city": "Athens",
            "state": "GA",
            "postal_code": "306062293",
            "country_code": "US",
            "telephone_number": "888-829-8550",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "PHYSICIAN MANAGEMENT SERVICES OF EASTERN GEORGIA, LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "VAXCARE CORPORATION",
        "enumeration_date": "2017-03-16",
        "last_updated": "2026-07-24",
        "certification_date": "2026-07-24",
        "status": "A",
        "authorized_official_last_name": "KENEFICK",
        "authorized_official_first_name": "BRETT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-829-8550"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "GA",
            "license": "049380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "PHC059",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kara Elizabeth Phillips, PHARMD
• Kelly Shadman Phillips, PA-C
• Samatra L Phillips, MA, MAC, ICAADC, CPR
• Cynthia Phillpott, LCSW
• Rachel Phipps
• Physician Pain and Wellness, P.C.
• Physician'S Express Care at Creekstone
• Physicians 2 You, Inc
• Physicians Immediate Med of Johns Creek PC
• Physicians Immediate Med of Johns Creek PC

• Family Medicine Physician in Cumming, GA
• Providers in Cumming, GA by specialty
• Family Medicine Physician in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.