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KENNEDY WILLIAMS
NPI 1265275192
Nurse Practitioner - Family in Dothan, AL

Active since June 18, 2024PECOS EnrolledAccepts Medicare Assignment
3144 ROSS CLARK CIR, DOTHAN, AL 36303(334) 678-9123(334) 678-9124 Get Directions Write a Review

NPPES record last updated: March 25, 2026. Verified against the NPPES registry weekly; last sync: October 18, 2026.

Record update history: Mar 25, 2026, Aug 1, 2024, Jun 18, 2024 (3 updates tracked since 2024).

About Kennedy Williams NPPES

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

KENNEDY WILLIAMS (NPI 1265275192) is an individual family provider in Dothan, Alabama, licensed in Alabama (3-001810) and active in the NPI registry since June 2024. She is enrolled in Medicare PECOS and is a graduate of Other (2024).

NPPES Registry Identity

NPI1265275192
Entity TypeIndividualFemale
Primary Taxonomy363LF0000X
Provider Legal NameKENNEDY WILLIAMS
Location Address3144 ROSS CLARK CIRDothan, AL 36303-3038
Mailing Address2844 Lincoln AveAlford, FL 32420-6201 · (850) 272-0685
Phone(334) 678-9123
Fax(334) 678-9124
Sole ProprietorYes
Medical School CMSOtherGraduated 2024
Enumeration DateJune 18, 2024
Last NPPES UpdateMarch 25, 20263 updates tracked since enumeration
NPPES CertifiedMarch 25, 2026
✔ NPI 1265275192 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Practitioner · FamilyPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code363LF0000X
License✔ Licensed in AL · 3-001810
3144 ROSS CLARK CIR, Dothan, AL 36303
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Blue Cross and Blue Shield of Alabama.Insurance ›

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Kennedy Williams 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 ID5698233112
PECOS Enrollment IDI20260814004141
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.

Medicare Billing Reassignment

Medicare enrollment records show Kennedy Williams reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Chipola Medical Associates, LLC
33 mi
Internal Medicine
4215 - E KELSON AVE
Marianna, FL 32446
  • Reassigned Medicare billing, Florida enrollment
  • 12 clinicians in this Medicare group
NPI 1346778263 (850) 526-3434

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 36303 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
$81.90 typical visit price
range $52.65 – $161.63
Typical copayment $20.47 (range $13.16 – $40.40)
Most-billed visit code 99203
Established Patient
$93.72 typical visit price
range $16.56 – $131.65
Typical copayment $23.43 (range $4.14 – $32.91)
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 6

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

SASSER HEALTH LLC
General Practice
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 446-4712
DR. JOEY SASSER DO
General Practice
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 791-3355
REBECCA T CAIN CRNP
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
JESSLYN SMITH
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
TANYISKA FONDA NP-C
Nurse Practitioner
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 678-9123
AMBER FREEMAN
Nurse Practitioner (Family)
3144 ROSS CLARK CIR
DOTHAN, AL 36303
Houston County (334) 791-3355

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 Williams's NPI number?

The NPI number for Kennedy Williams is 1265275192. It was assigned to this individual provider in the NPPES registry on June 18, 2024.

Where is Kennedy Williams located?

Kennedy Williams practices at 3144 Ross Clark Cir, Dothan, AL 36303. The listed phone number is (334) 678-9123.

What is Kennedy Williams's specialty?

The primary specialty registered for this NPI is Nurse Practitioner, specializing in Family, with taxonomy code 363LF0000X.

Is Kennedy Williams enrolled in Medicare?

Yes. Kennedy Williams 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.

Which organization bills Medicare for Kennedy Williams's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Williams reassigns Medicare benefits to Chipola Medical Associates, LLC (Marianna, FL). 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 Williams's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Kennedy Williams accept?

Health plans from Blue Cross and Blue Shield of Alabama list Kennedy Williams as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Kennedy Williams was last updated on March 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.