Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

JUSTIN J KENNEDY PA-C
NPI 1154005908
Physician Assistant in Beaufort, SC

Q: What is Justin Kennedy's NPI number?

The NPI number for Justin Kennedy is 1154005908. It was assigned to this individual provider in the NPPES registry on June 12, 2023.

Q: What is Justin Kennedy's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Justin Kennedy was last updated on August 30, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 days 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.

Active since June 12, 2023PECOS Enrolled

1076 RIBAUT RD STE 101, BEAUFORT, SC 29902(843) 525-0045(843) 525-0826 Get Directions Write a Review

NPPES record last updated: August 30, 2026. Verified against the NPPES registry weekly; last sync: August 30, 2026.

Record update history: Aug 30, 2026, Aug 17, 2023, Jun 12, 2023 (3 updates tracked since 2023).

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About Justin J Kennedy Pa-c NPPES

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

JUSTIN J KENNEDY PA-C (NPI 1154005908) is an individual physician assistant in Beaufort, South Carolina, licensed in South Carolina (6482) and active in the NPI registry since June 2023. He is enrolled in Medicare PECOS, is affiliated with Upmc Presbyterian Shadyside, and maintains 2 additional practice locations.

NPPES Registry Identity

NPI1154005908

Entity TypeIndividualMale

Primary Taxonomy363A00000X

Provider Legal NameJUSTIN J KENNEDYCredential: PA-C

Location Address1076 RIBAUT RD STE 101Beaufort, SC 29902-5477

Mailing Address1076 Ribaut Rd Ste 101Beaufort, SC 29902-5477

Phone(843) 525-0045

Fax(843) 525-0826

Sole ProprietorNo

Medical School CMSOtherGraduated 2023

Enumeration DateJune 12, 2023

Last NPPES UpdateAugust 30, 20263 updates tracked since enumeration

NPPES CertifiedAugust 30, 2026

✔ NPI 1154005908 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 SC · 6482

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.

1076 RIBAUT RD STE 101, Beaufort, SC 29902

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Secondary Practice Locations 2

Location 139 Hospital Center CmnsHilton Head Island, SC 29926-2837 · Phone (843) 681-2363 · Fax (843) 342-3140

Location 24812 Bluffton PkwyBluffton, SC 29910-4602 · Phone (843) 837-4300 · Fax (843) 837-4304

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

Justin J Kennedy Pa-c 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 ID6800241746

PECOS Enrollment IDI20231012000044

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.

Areas of Expertise CMS Part B claims 3

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.

Injection, triamcinolone acetonide, not otherwise specified, 10 mg J3301

Triamcinolone acetonide is a medication used to reduce inflammation in the body. It's given as a 10 mg injection for conditions like allergies, arthritis, or skin problems. The injection helps to decrease swelling, redness, and itching.

124 services16 patients

Aspiration and/or injection of fluid from large joint 20610

This procedure involves using a needle to remove (aspiration) or introduce (injection) fluid into a large joint like the knee or hip. It can help diagnose conditions, relieve discomfort, or deliver medication directly to the joint.

48 services31 patients

Established patient office or other outpatient visit with low level od decision making, if using time, 20 minutes or more 99213

This is a routine visit for patients who have already been seen by the healthcare provider. During this approximately 20-29 minute appointment, your health status will be evaluated and any necessary treatments or tests will be discussed. It's a chance to address any health concerns you may have.

17 services17 patients

Hospital Affiliations CMS Care Compare

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

Upmc Presbyterian Shadyside

Acute Care Hospitals · Pittsburgh, PA

4/5 CMS rating

OwnershipVoluntary non-profit - Private

CMS Certification Number390164

Location200 Lothrop StreetPittsburgh, PA 15213 · Allegheny County

Emergency services

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 29902 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

$83.18 typical visit price

range $53.57 – $163.84

Typical copayment $20.79 (range $13.39 – $40.96)

Most-billed visit code 99203

Established Patient

$67.12 typical visit price

range $16.96 – $133.52

Typical copayment $16.78 (range $4.24 – $33.38)

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 11

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

DEVIN ALEXANDER DUKES PA-C

Physician Assistant