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HALEY MAI KENNEDY PA
NPI 1134059058
Physician Assistant in Bristol, TN

Active since May 21, 2026PECOS Enrolled
320 STEELES RD, BRISTOL, TN 37620(423) 390-1900(423) 390-1899 Get Directions Write a Review

NPPES record last updated: July 6, 2026. Verified against the NPPES registry weekly; last sync: September 06, 2026.

Record update history: Jul 6, 2026, May 21, 2026 (2 updates tracked since 2026).

About Haley Mai Kennedy Pa NPPES

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

HALEY MAI KENNEDY PA (NPI 1134059058) is an individual physician assistant in Bristol, Tennessee, licensed in Tennessee (7254) and active in the NPI registry since May 2026. She is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1134059058
Entity TypeIndividualFemale
Primary Taxonomy363A00000X
Provider Legal NameHALEY MAI KENNEDYCredential: PA
Location Address320 STEELES RDBristol, TN 37620-9532
Mailing AddressPo Box 632476Cincinnati, OH 45263-2476
Phone(423) 390-1900
Fax(423) 390-1899
Sole ProprietorYes
Enumeration DateMay 21, 2026
Last NPPES UpdateJuly 6, 20262 updates tracked since enumeration
NPPES CertifiedJuly 6, 2026
✔ NPI 1134059058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPhysician AssistantPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363A00000X
License✔ Licensed in TN · 7254
Definition
A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, order lab tests and x-rays, and give inoculations. Most states require that they work under the supervision of a physician.
320 STEELES RD, Bristol, TN 37620
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Other Names 1

Former Name (1)Haley Mai Tham

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Haley Mai Kennedy Pa 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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 37620 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
$81.53 typical visit price
range $52.64 – $160.89
Typical copayment $20.38 (range $13.16 – $40.22)
Most-billed visit code 99203
Established Patient
$66.01 typical visit price
range $16.72 – $131.41
Typical copayment $16.50 (range $4.18 – $32.85)
Most-billed visit code 99213
Amounts reflect what Medicare beneficiaries in this ZIP area are typically charged for office visits. Patients with other coverage should check their individual plans.

Other Providers at the Same Location NPPES 8

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

DR. THOMAS DUNCAN MAKRES M.D.
Pediatrics
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 968-2599
BRISTOL PEDIATRIC ASSOCIATES, P.C.
Specialist
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 968-2599
CASSIE BROOKS HUDSON D.O
Pediatrics
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 968-2599
MEGHAN M MULLINS MMS, PA-C
Physician Assistant
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 390-1900
KENNETH JARED HESS DO
Family Medicine
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 390-1900
DR. JESSICA D HOMMEL M.D.
Pediatrics
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 968-2599
DR. JONATHAN DIXON D.O.
Internal Medicine
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 390-1900
NANCY S SHISLER C.F.N.P.
Nurse Practitioner (Pediatrics)
320 STEELES RD
BRISTOL, TN 37620
Sullivan County (423) 968-2599

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 Haley Kennedy's NPI number?

The NPI number for Haley Kennedy is 1134059058. It was assigned to this individual provider in the NPPES registry on May 21, 2026. The provider is also known as Haley Mai Tham.

Where is Haley Kennedy located?

Haley Kennedy practices at 320 Steeles Rd, Bristol, TN 37620. The listed phone number is (423) 390-1900.

What is Haley Kennedy's specialty?

The primary specialty registered for this NPI is Physician Assistant with taxonomy code 363A00000X.

Is Haley Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Haley Kennedy was last updated on July 6, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 months 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.