Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

SAMUEL KENNEDY MD
NPI 1538798285
Internal Medicine - Pulmonary Disease in Athens, GA

Q: What is Samuel Kennedy's NPI number?

The NPI number for Samuel Kennedy is 1538798285. It was assigned to this individual provider in the NPPES registry on April 5, 2020.

Q: What is Samuel Kennedy's specialty?

The primary specialty registered for this NPI is Internal Medicine, specializing in Pulmonary Disease, with taxonomy code 207RP1001X.

Q: When was this NPI record last updated?

The NPPES record for Samuel Kennedy was last updated on August 11, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 days 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.

Active since April 05, 2020PECOS EnrolledAccepts Medicare Assignment

3320 OLD JEFFERSON RD STE 200A, ATHENS, GA 30607(706) 549-5560(706) 543-2593 Get Directions Write a Review

NPPES record last updated: August 11, 2026. Verified against the NPPES registry weekly; last sync: August 23, 2026.

Record update history: Aug 11, 2026, Apr 5, 2020 (2 updates tracked since 2020).

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About Samuel Kennedy Md NPPES

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

SAMUEL KENNEDY MD (NPI 1538798285) is an individual pulmonary disease provider in Athens, Georgia, licensed in Georgia (110587) and active in the NPI registry since April 2020. He is enrolled in Medicare PECOS and is a graduate of Ohio State University College Of Medicine (2020).

NPPES Registry Identity

NPI1538798285

Entity TypeIndividualMale

Primary Taxonomy207RP1001X

Provider Legal NameSAMUEL KENNEDYCredential: MD

Location Address3320 OLD JEFFERSON RD STE 200AAthens, GA 30607-1478

Mailing Address3320 Old Jefferson Rd Ste 200aAthens, GA 30607-1478 · (706) 549-5560 · Fax (706) 543-2593

Phone(706) 549-5560

Fax(706) 543-2593

Sole ProprietorNo

Medical School CMSOhio State University College Of MedicineGraduated 2020

Enumeration DateApril 5, 2020

Last NPPES UpdateAugust 11, 20262 updates tracked since enumeration

NPPES CertifiedAugust 11, 2026

✔ NPI 1538798285 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyInternal Medicine · Pulmonary DiseaseAllopathic & Osteopathic Physicians

Taxonomy Code207RP1001X

License✔ Licensed in GA · 110587

Definition

An internist who treats diseases of the lungs and airways. The pulmonologist diagnoses and treats cancer, pneumonia, pleurisy, asthma, occupational and environmental diseases, bronchitis, sleep disorders, emphysema and other complex disorders of the lungs.

3320 OLD JEFFERSON RD STE 200A, Athens, GA 30607

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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

Samuel Kennedy Md 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 ID4688084148

PECOS Enrollment IDI20260520003671

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.

Physician Visit Costs CMS claims · ZIP area

Typical Medicare office-visit costs in the 30607 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

$124.10 typical visit price

range $53.31 – $164.04

Typical copayment $31.02 (range $13.32 – $41.01)

Most-billed visit code 99204

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 9

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

NICOLE SHEPARD AG-ACNP

Nurse Practitioner (Acute Care)