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, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennedy Brooke Osborne is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kennedy Osborne reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Macon, GA 31201
- Reassigned Medicare billing, Georgia enrollment
- 108 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
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.
Which organization bills Medicare for Kennedy Osborne's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Osborne reassigns Medicare benefits to Central Georgia Emergency Group, LLC (Macon, GA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Kennedy Osborne's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
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 12 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
- **Bills Medicare through:** Central Georgia Emergency Group, LLC (NPI 1598126641, Macon, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
## 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.