Kennedy Powell

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

DN123884 Issued in GA

Practice address

2239 Highway 20 SE Ste H
Conyers, GA 30013-2087

Phone

(770) 921-3565

NPI assigned

Jul 25, 2025

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

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Conyers Smiles Dentistry, PC

  • General Practice Dentistry
  • Conyers, GA
  • NPI 1255734174
  NPD (past)

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

{
    "created_epoch": "1753401600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1753401600000",
    "number": "1962385237",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3509 CLEAR VIEW TRL",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302815670"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2239 HIGHWAY 20 SE STE H",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132087",
            "telephone_number": "770-921-3565"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POWELL",
        "first_name": "KENNEDY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-07-25",
        "last_updated": "2025-07-25",
        "certification_date": "2025-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "GA",
            "license": "DN123884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pos Inc
• Pos Inc Dba Atlanta Therapy Services
• Richard G Pounds III, PT, DPT
• Leniecia Powdar
• Marlene Powell-Bryan, RN
• Carol Powers, MS, LPC
• Grace Poyser
• Prana Brain and Nerve Health LLC
• Sara Elaine Pratt, LMT
• Praxis Living Solutions, LLC

• General Practice Dentistry in Conyers, GA
• Providers in Conyers, 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 Jul 25, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.