KENNEDY BROOKE OSBORNE
NPI 1154048155
Nurse Practitioner - Pediatrics in Macon, GA
About Kennedy Brooke Osborne NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY BROOKE OSBORNE (NPI 1154048155) is an individual pediatrics provider in Macon, Georgia, licensed in Georgia (RN268261) and active in the NPI registry since October 2022. She is enrolled in Medicare PECOS.
NPPES Registry Identity
Specialties & Licenses 2
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennedy Brooke Osborne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Physician Visit Costs CMS claims · ZIP area
Typical Medicare office-visit costs in the 31201 ZIP code area, from fee-for-service claims. These are area statistics, not this provider’s prices; actual charges vary by service and coverage.
Other Providers at the Same Location NPPES 13
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Kennedy Osborne's NPI number?
The NPI number for Kennedy Osborne is 1154048155. It was assigned to this individual provider in the NPPES registry on October 20, 2022.
Where is Kennedy Osborne located?
Kennedy Osborne practices at 888 Pine St, Macon, GA 31201. The listed phone number is (478) 633-1000.
What is Kennedy Osborne's specialty?
The primary specialty registered for this NPI is Nurse Practitioner, specializing in Pediatrics, with taxonomy code 363LP0200X.
Is Kennedy Osborne enrolled in Medicare?
Yes. Kennedy Osborne is registered in the Medicare PECOS enrollment system.
When was this NPI record last updated?
The NPPES record for Kennedy Osborne was last updated on October 10, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.
# Kennedy Brooke Osborne · NPI 1154048155
Pediatrics physician in Macon, Georgia. Individual provider, active in the CMS NPPES registry since October 20, 2022.
## Identity
- **NPI:** 1154048155 (Entity type: Individual)
- **Enumerated:** October 20, 2022
- **Primary specialty:** Nurse Practitioner - Pediatrics · taxonomy 363LP0200X
- **State license:** RN268261 (Georgia)
- **Sole proprietor:** Yes
## Practice location
- **Address:** 888 PINE ST, Macon, GA 31201-2109
- **Phone:** (478) 633-1000
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Ordering & referring:** eligible for Part B labs & imaging, durable medical equipment, home health, power mobility devices
## Record status
- **NPPES last updated:** October 10, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1154048155) · Data from the CMS NPPES public registry.