CALLIE KENNEDY
NPI 1023412640
Anesthesiologist Assistant in Fayetteville, GA

Q: What is Callie Kennedy's NPI number?

The NPI number for Callie Kennedy is 1023412640. It was assigned to this individual provider in the NPPES registry on October 9, 2014.

Q: What is Callie Kennedy's specialty?

The primary specialty registered for this NPI is Anesthesiologist Assistant with taxonomy code 367H00000X.

Q: When was this NPI record last updated?

The NPPES record for Callie Kennedy was last updated on October 9, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.

Active since October 09, 2014Accepts Medicare Assignment

1255 HIGHWAY 54 W, FAYETTEVILLE, GA 30214(770) 719-7000 Get Directions Write a Review

NPPES record last updated: October 9, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

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About Callie Kennedy NPPES

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

CALLIE KENNEDY (NPI 1023412640) is an individual anesthesiologist assistant in Fayetteville, Georgia, licensed in Georgia (6385) and active in the NPI registry since October 2014. She is affiliated with Piedmont Hospital and is a graduate of Other (2014).

NPPES Registry Identity

NPI1023412640

Entity TypeIndividualFemale

Primary Taxonomy367H00000X

Provider Legal NameCALLIE KENNEDY

Location Address1255 HIGHWAY 54 WFayetteville, GA 30214-4526

Mailing Address1968 Peachtree Rd NwAtlanta, GA 30309-1281 · (404) 605-5000

Phone(770) 719-7000

Sole ProprietorNo

Medical School CMSOtherGraduated 2014

Enumeration DateOctober 9, 2014

✔ NPI 1023412640 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAnesthesiologist AssistantPhysician Assistants & Advanced Practice Nursing Providers

Taxonomy Code367H00000X

License✔ Licensed in GA · 6385

Definition

An individual certified by the state to perform anesthesia services under the direct supervision of an anesthesiologist. Anesthesiologist Assistants are required to have a bachelor's degree with a premed curriculum prior to entering a two-year anesthesiology assistant program, which is focused upon the delivery and maintenance of anesthesia care as well as advanced patient monitoring techniques. An Anesthesiologist Assistant must work as a member of the anesthesia care team under the direction of a qualified Anesthesiologist.

1255 HIGHWAY 54 W, Fayetteville, GA 30214

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Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Callie Kennedy is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID8123343035

PECOS Enrollment IDI20150218001069

Areas of Expertise CMS Part B claims

Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.

Anesthesia for extensive surgery on spine 00670

Anesthesia for extensive spine surgery involves medication to block pain and make you unconscious during the procedure. It ensures comfort and prevents movement. Two types may be used: general (you sleep) or regional (numbs a large area). The choice depends on the surgery specifics and your health.

25 services25 patients

Hospital Affiliations CMS Care Compare

Hospitals where this provider delivers care, identified from recent Medicare claims and place-of-service records.

Piedmont Hospital

Acute Care Hospitals · Atlanta, GA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number110083

Location1968 Peachtree Rd NWAtlanta, GA 30309 · Fulton County

Emergency services Birthing friendly

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. ROBIN LOWMAN WHITE

Emergency Medicine