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ANDREA M KENNEDY
NPI 1083120588
Physician Assistant - Surgical in Snellville, GA

Active since December 19, 2017
1700 MEDICAL WAY, SNELLVILLE, GA 30078(770) 979-0200 Get Directions Write a Review

NPPES record last updated: December 27, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 27, 2021, Mar 17, 2018, Dec 19, 2017 (3 updates tracked since 2017).

About Andrea M Kennedy NPPES

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

ANDREA M KENNEDY (NPI 1083120588) is an individual surgical provider in Snellville, Georgia, licensed in Georgia (175866) and active in the NPI registry since December 2017. She maintains a secondary practice location in Lawrenceville.

NPPES Registry Identity

NPI1083120588
Entity TypeIndividualFemale
Primary Taxonomy363AS0400X
Provider Legal NameANDREA M KENNEDY
Location Address1700 MEDICAL WAYSnellville, GA 30078-2195
Mailing Address2311 Ridge Forest DrGrayson, GA 30017-1718 · (678) 656-6819
Phone(770) 979-0200
Sole ProprietorYes
Enumeration DateDecember 19, 2017
Last NPPES UpdateDecember 27, 20213 updates tracked since enumeration
NPPES CertifiedDecember 27, 2021
✔ NPI 1083120588 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPhysician Assistant · SurgicalPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363AS0400X
License✔ Licensed in GA · 175866
Also ListedSpecialist/Technologist, Other · Surgical AssistantTaxonomy 246ZC0007X
1700 MEDICAL WAY, Snellville, GA 30078
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Secondary Practice Location 1

Location 11000 Medical Center BlvdLawrenceville, GA 30046-7694 · Phone (678) 312-1000

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.

MR. JASON TODD JONES NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (478) 464-8134
YOVANIE JEAN-PIERRE NP
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200
TAYANA BUCHANAN
Nurse Practitioner
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (404) 610-0205
WILLIAM MUSARRA A.A.
Anesthesiologist Assistant
1700 MEDICAL WAY, ANESTHESIA DEPT
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
MS. DONNA ARTHUR PA-C
Physician Assistant (Medical)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 332-1234
JEREMY L STERLING PA
Anesthesiologist Assistant
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-9996
APOLLO EMERGENCY PHYSICIANS, LLC
Emergency Medicine
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (469) 401-2386
CHARLOTTE A HAYES MD
Radiology (Diagnostic Radiology)
1700 MEDICAL WAY
SNELLVILLE, GA 30078
Gwinnett County (770) 979-0200

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 Andrea Kennedy's NPI number?

The NPI number for Andrea Kennedy is 1083120588. It was assigned to this individual provider in the NPPES registry on December 19, 2017.

Where is Andrea Kennedy located?

Andrea Kennedy practices at 1700 Medical Way, Snellville, GA 30078. The listed phone number is (770) 979-0200.

What is Andrea Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant, specializing in Surgical, with taxonomy code 363AS0400X.

When was this NPI record last updated?

The NPPES record for Andrea Kennedy was last updated on December 27, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.