Sheryl Ann Kennedy, FNP-BC

Individual provider Active NPI Family Nurse Practitioner · Peach Tree City, GA

NPI 1821151978 · NPPES record last updated Jan 5, 2017

Key facts

NPI
1821151978
Entity type
Individual (NPI type 1)
Primary specialty
Family Nurse Practitioner 363LF0000X
License
RN070145 (GA)
Practice address
8 Eastbrook Bend
Suite B
Peach Tree City, GA 30269
Phone
(770) 487-2273
Fax
(770) 487-2228
NPI assigned
Dec 19, 2006
Sex
Female
Sole proprietor
No

Organizations & group practices 7

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.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in GA
Eligible to order & refer
Part B services: Yes · DME: Yes · Home health: Yes · Power mobility devices: Yes · Hospice: No

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20040108000584 GA Practitioner - Nurse Practitioner 3971402892 Reassigns benefits to 5 organizations

National Provider Directory

Medicare enrollment (NPD)
Yes
Credentials
Nurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
The Emory Clinic Inc Current
since May 28, 2020
Accepting new patients
Emory Specialty Associates, LLC Current
since Aug 18, 2022
Accepting new patients
Southeast Medical Group, P.C. Current
since Jun 26, 2023
Accepting new patients
Peachtree City Urgent Care, Inc Current
since Feb 14, 2016
Accepting new patients
Gwinnett Clinic LTD Past Accepting new patients
Physician First Health Network Past
since Jun 3, 2025
Accepting new patients

Locations

1365 Clifton Rd NE
Atlanta, GA 30322
Phone (404) 778-7525

1821 Clifton Rd NE
Atlanta, GA 30329
Phone (404) 728-6812

1776 Old Spring House Ln
Atlanta, GA 30338
Phone (770) 454-0091

1255 Friendship Rd
Ste 130
Braselton, GA 30517
Phone (678) 341-6350

4300 Northpoint Pkwy
Ste 300
Johns Creek, GA 30022
Phone (770) 518-4406

141 Lacy St NW
Ste 100
Marietta, GA 30060
Phone (770) 615-1350

8 Eastbrook Bnd
#B
Peachtree Cty, GA 30269
Phone (770) 487-2273

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/DIJIBA
  • Direct secure messaging: skennedy27890@direct.emory.org

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Family Nurse Practitioner 363LF0000X RN070145 GA Yes

Addresses

Primary practice location

8 Eastbrook Bend
Suite B
Peach Tree City, GA 30269

Mailing address

8 Eastbrook Bend
Suite B
Peach Tree City, GA 30269
Phone (770) 487-2273

Other identifiers

IdentifierTypeStateIssuer
942218511CMedicaidGA

Other names

  • Sheryl Ann Kennedy Former name

Other providers in Peach Tree City, GA

All providers in Peach Tree City, GA · Family Nurse Practitioner in Georgia

Sources for this page

Verify at the official NPI Registry.