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SHEILA KENNEDY MD
NPI 1013148626
Family Medicine in Lawrenceville, GA

Active since July 30, 2009PECOS Enrolled
1430 FIVE FORKS TRICKUM RD ST 220, LAWRENCEVILLE, GA 30044(678) 578-4983(678) 578-4988 Get Directions Write a Review

NPPES record last updated: April 9, 2015. Verified against the NPPES registry weekly; last sync: November 01, 2026.

About Sheila Kennedy Md NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SHEILA KENNEDY MD (NPI 1013148626) is an individual family medicine provider in Lawrenceville, Georgia, licensed in Georgia (68227) and active in the NPI registry since July 2009. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1013148626
Entity TypeIndividualFemale
Primary Taxonomy207Q00000X
Provider Legal NameSHEILA KENNEDYCredential: MD
Location Address1430 FIVE FORKS TRICKUM RD ST 220Lawrenceville, GA 30044-8182
Mailing Address2491 Panola RdLithonia, GA 30058-4831 · (678) 205-4999 · Fax (678) 205-4969
Phone(678) 578-4983
Fax(678) 578-4988
Sole ProprietorNo
Enumeration DateJuly 30, 2009
Last NPPES UpdateApril 9, 2015
✔ NPI 1013148626 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License✔ Licensed in GA · 68227
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
Also ListedStudent in an Organized Health Care Education/Training ProgramTaxonomy 390200000X
1430 FIVE FORKS TRICKUM RD ST 220, Lawrenceville, GA 30044
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Other Identifiers 2

Medicaid003140093BGA
Medicaid003140093AGA

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Texas.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sheila Kennedy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Eligible to Order & Refer✔ Part B Labs & Imaging✔ Durable Medical Equipment✔ Home Health Agency✔ Power Mobility DevicesPer the CMS Ordering and Referring file. Eligibility means Medicare pays claims that this provider orders or refers for these categories.

Medicare Billing Reassignment

Medicare enrollment records show Sheila Kennedy reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

The Southeast Permanente Medical Group
21 mi
Internal Medicine
3495 PIEDMONT ROAD NE, NINE PIEDMONT CENTER
Atlanta, GA 30305
  • Reassigned Medicare billing, Georgia enrollment
  • 1,389 clinicians in this Medicare group
NPI 1245266956 (404) 364-3821

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30044 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.

New Patient
$88.06 typical visit price
range $56.84 – $172.43
Typical copayment $22.01 (range $14.21 – $43.10)
Most-billed visit code 99203
Established Patient
$100.20 typical visit price
range $18.22 – $140.40
Typical copayment $25.05 (range $4.55 – $35.10)
Most-billed visit code 99214
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Sheila Kennedy's NPI number?

The NPI number for Sheila Kennedy is 1013148626. It was assigned to this individual provider in the NPPES registry on July 30, 2009.

Where is Sheila Kennedy located?

Sheila Kennedy practices at 1430 Five Forks Trickum Rd St 220, Lawrenceville, GA 30044. The listed phone number is (678) 578-4983.

What is Sheila Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Sheila Kennedy enrolled in Medicare?

Yes. Sheila Kennedy is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Sheila Kennedy's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Sheila Kennedy reassigns Medicare benefits to The Southeast Permanente Medical Group (Atlanta, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Sheila Kennedy's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Sheila Kennedy accept?

Health plans from Blue Cross and Blue Shield of Texas list Sheila Kennedy as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Sheila Kennedy was last updated on April 9, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.