GENE SCOTT KENNEDY M.D.
NPI 1255438214
Family Medicine in Saint Simons Island, GA

Active since September 20, 2006PECOS EnrolledAccepts Medicare AssignmentCLIA 11D0260977 · Microscopy
101 HERON WALK, SAINT SIMONS ISLAND, GA 31522(912) 634-2651(912) 634-2653 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Gene Scott Kennedy M.d. NPPES

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

GENE SCOTT KENNEDY M.D. (NPI 1255438214) is an individual family medicine provider in Saint Simons Island, Georgia, licensed in Georgia (050645) and active in the NPI registry since September 2006. He is enrolled in Medicare PECOS, holds a CLIA Microscopy certificate valid through February 28, 2028, and is a graduate of New York Medical College (1992).

NPPES Registry Identity

NPI1255438214
Entity TypeIndividualMale
Primary Taxonomy207Q00000X
Provider Legal NameGENE SCOTT KENNEDYCredential: M.D.
Location Address101 HERON WALKSaint Simons Island, GA 31522-2585
Mailing Address116 Asbury StSaint Simons Island, GA 31522-2209 · (912) 634-2651 · Fax (912) 634-2653
Fax(912) 634-2653
Sole ProprietorYes
Medical School CMSNew York Medical CollegeGraduated 1992
Enumeration DateSeptember 20, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1255438214 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyFamily MedicineAllopathic & Osteopathic Physicians
Taxonomy Code207Q00000X
License Licensed in GA · 050645
Definition
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity.
101 HERON WALK, Saint Simons Island, GA 31522

Other Identifiers 2

Medicare UPINF66222GA
Medicare ID-Type Unspecified08BBRRSGA

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

Gene Scott Kennedy M.d. 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 ID6608820170
PECOS Enrollment IDI20050308000559
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.

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 11D0260977

Gene S Kennedy MD PC · Saint Simons Island, GA
Active · expires Feb 28, 2028
CLIA Number11D0260977
Laboratory TypePhysician Office
Certificate Effective DateFebruary 28, 2026
Certificate Expiration DateFebruary 28, 2028
Laboratory DirectorGene S. Kennedy
Laboratory Phone(912) 634-2651
Laboratory LocationGene S Kennedy MD PC2483 Demere Road Suite 206, Saint Simons Island, GA 31522
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 31522 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
$83.23 typical visit price
range $53.31 – $164.04
Typical copayment $20.80 (range $13.32 – $41.01)
Most-billed visit code 99203
Established Patient
$94.84 typical visit price
range $16.68 – $133.24
Typical copayment $23.71 (range $4.17 – $33.31)
Most-billed visit code 99214
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

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

Family Medicine
101 HERON WALK
ST SIMONS ISLAND, GA 31522

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 Gene Kennedy's NPI number?

The NPI number for Gene Kennedy is 1255438214. It was assigned to this individual provider in the NPPES registry on September 20, 2006.

Where is Gene Kennedy located?

Gene Kennedy practices at 101 Heron Walk, Saint Simons Island, GA 31522. The listed phone number is (912) 634-2651.

What is Gene Kennedy's specialty?

The primary specialty registered for this NPI is Family Medicine with taxonomy code 207Q00000X.

Is Gene Kennedy enrolled in Medicare?

Yes. Gene Kennedy is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

Does Gene Kennedy hold a CLIA laboratory certificate?

Yes. A Certificate for Provider-Performed Microscopy Procedures (PPMP) (number 11D0260977) is associated with this NPI, valid through February 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Gene Kennedy was last updated on July 8, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.