KENNEDY LYNN DAVIS
NPI 1306709035
Dietitian, Registered in Newnan, GA
About Kennedy Lynn Davis NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KENNEDY LYNN DAVIS (NPI 1306709035) is an individual dietitian, registered in Newnan, Georgia, licensed in Georgia (LD007940) and active in the NPI registry since December 2025. She is a graduate of Other (2025).
NPPES Registry Identity
Specialties & Licenses
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kennedy Lynn Davis is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Kennedy Davis reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
Newnan, GA 30265
- Reassigned Medicare billing, Georgia enrollment
- 448 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.
Other Providers at the Same Location NPPES 20
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
NEWNAN, GA 30265
NEWNAN, GA 30265
NEWNAN, GA 30265
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 Davis's NPI number?
The NPI number for Kennedy Davis is 1306709035. It was assigned to this individual provider in the NPPES registry on December 9, 2025.
Where is Kennedy Davis located?
Kennedy Davis practices at 600 Celebrate Life Pkwy, Newnan, GA 30265. The listed phone number is (770) 400-6410.
What is Kennedy Davis's specialty?
The primary specialty registered for this NPI is Dietitian, Registered with taxonomy code 133V00000X.
Is Kennedy Davis enrolled in Medicare?
Yes. Kennedy Davis is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Kennedy Davis's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Kennedy Davis reassigns Medicare benefits to City Of Hope Medical Group Of Georgia LLC (Newnan, 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 Davis'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 Davis was last updated on December 9, 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 Lynn Davis · NPI 1306709035
Dietitian, Registered provider in Newnan, Georgia. Individual provider, active in the CMS NPPES registry since December 9, 2025.
## Identity
- **NPI:** 1306709035 (Entity type: Individual)
- **Enumerated:** December 9, 2025
- **Primary specialty:** Dietitian, Registered · taxonomy 133V00000X
- **State license:** LD007940 (Georgia)
- **Sole proprietor:** No
## Practice location
- **Address:** 600 CELEBRATE LIFE PKWY, Newnan, GA 30265-8001
- **Phone:** (770) 400-6410
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Bills Medicare through:** City Of Hope Medical Group Of Georgia LLC (NPI 1447520333, Newnan, GA), under Medicare reassignment (form CMS-855R) · CMS Revalidation Reassignment List, October 2026 release
- **Medical school:** Other, class of 2025
## Record status
- **NPPES last updated:** December 9, 2025
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Source: [NPI Profile](https://npiprofile.com/npi/1306709035) · Data from the CMS NPPES public registry.