PHILIP R. KENNEDY MD – NPI #1912903485
Psychiatry & Neurology

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

PHILIP KENNEDY is a psychiatry & neurologist located in DULUTH, GA. NPPES has assigned the NPI number 1912903485 to PHILIP KENNEDY on June 21, 2005. It is a Type-1 NPI, indicating this NPI number is associated with an individual. The primary taxonomy selected by this provider is 2084N0400X from the Health Care Provider Taxonomy code set, which is classified as Psychiatry & Neurology, specializing in Neurology

The NPI profile was previously updated about 17 years ago on Jan 23, 2009. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for PHILIP KENNEDY below.

NPI Profile for
PHILIP R. KENNEDY

NPI Number
1912903485
Enumeration Date

(about 21 years ago)
Entity Type
Type-1  Individual (Male)
Legal Name
PHILIP R. KENNEDY
Credentials
MD
Primary location
3400 MCCLURE BRIDGE RD
SUITE D401
DULUTH, GA 30096-6675
Phone: (770) 622-2230 Fax: (770) 622-9741
Mailing address
Same as primary location
Sole Proprietor
Yes
Updated
Identifiers

Identifiers for PHILIP KENNEDY

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
MEDICAIDGA000772813A
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
2084N0400X
- Psychiatry & Neurology / Neurology (Primary)
GA GA03970B

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.

Additional Information

Medicare Ordering & Referring
Provider can:
  • Refer to Part B
  • Order Durable Medical Equipment
  • Refer to Home Health Agency
  • Order Power Mobility Devices
Affiliations
PHILIP KENNEDY is affiliated with the following medical group(s):
  • HOSPITAL
    • NORTHSIDE HOSPITAL DULUTH
      3620 HOWELL FERRY ROAD
      DULUTH, GA 30096
    • NORTHSIDE HOSPITAL GWINNETT
      1000 MEDICAL CENTER BOULEVARD
      LAWRENCEVILLE, GA 30046

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If you have an active NPI profile, your profile is required to be disclosed according to the FOIA and eFOIA. HIPAA also requires covered providers to share their NPI with other providers, health plans, clearinghouses and any entity that may need it for billing purposes.

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Can I hide my NPI profile from the public?
Unfortunately, No. The NPPES discloses health care provider data under the Freedom of Information Act to the public, which means anyone may request such information directly from the National Plan & Provider Enumeration System. See the complete CMS Data Dissemination Notice here.