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BETHANY ANN KENNEDY M.D.
NPI 1598409740
Pediatrics - Pediatric Emergency Medicine in Charleston, SC

Active since April 25, 2022PECOS Enrolled
10 MCCLENNAN BANKS DR, CHARLESTON, SC 29401(843) 792-2300 Get Directions Write a Review

NPPES record last updated: February 25, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bethany Ann Kennedy M.d. NPPES

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

BETHANY ANN KENNEDY M.D. (NPI 1598409740) is an individual pediatric emergency medicine provider in Charleston, South Carolina, licensed in South Carolina (95251) and active in the NPI registry since April 2022. She is enrolled in Medicare PECOS, maintains a secondary practice location in Charleston, and is a graduate of University Of Alabama School Of Medicine (2022).

NPPES Registry Identity

NPI1598409740
Entity TypeIndividualFemale
Primary Taxonomy2080P0204X
Provider Legal NameBETHANY ANN KENNEDYCredential: M.D.
Location Address10 MCCLENNAN BANKS DRCharleston, SC 29401-1164
Mailing Address5535 Pettiford PlNorth Charleston, SC 29406-3321 · (256) 503-4343
Phone(843) 792-2300
Sole ProprietorNo
Medical School CMSUniversity Of Alabama School Of MedicineGraduated 2022
Enumeration DateApril 25, 2022
Last NPPES UpdateFebruary 25, 2026
NPPES CertifiedFebruary 25, 2026
✔ NPI 1598409740 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyPediatrics · Pediatric Emergency MedicineAllopathic & Osteopathic Physicians
Taxonomy Code2080P0204X
License✔ Licensed in SC · 95251
Definition
A pediatrician who has special qualifications to manage emergencies in infants and children.
Also ListedHospitalistTaxonomy 208M00000X · License 95251 (SC)
10 MCCLENNAN BANKS DR, Charleston, SC 29401
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Secondary Practice Location 1

Location 12095 Henry Tecklenburg DrCharleston, SC 29414-5733 · Phone (843) 402-1634 · Fax (843) 402-1550

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Bethany Ann Kennedy M.d. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7315441664
PECOS Enrollment IDI20260305001615
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.

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.

EMILY E BRAME
Registered Nurse
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-2300
DR. CAITLIN MARY KELLER PT, DPT, PCS
Physical Therapist (Pediatrics)
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 985-2128
NICOLE NEIMAN
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
BEN JAWN MITCHELL MD
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
EMMA KUNKLEMAN DO
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972
TORI NICOLE COOKE DNP, CPNP-AC
Pediatrics (Pediatric Cardiology)
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-1414
ANDREA LAUREN POWER
Registered Nurse
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-2300
TING WANG
Pediatrics
10 MCCLENNAN BANKS DR
CHARLESTON, SC 29401
Charleston County (843) 792-8972

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 Bethany Kennedy's NPI number?

The NPI number for Bethany Kennedy is 1598409740. It was assigned to this individual provider in the NPPES registry on April 25, 2022.

Where is Bethany Kennedy located?

Bethany Kennedy practices at 10 Mcclennan Banks Dr, Charleston, SC 29401. The listed phone number is (843) 792-2300.

What is Bethany Kennedy's specialty?

The primary specialty registered for this NPI is Pediatrics, specializing in Pediatric Emergency Medicine, with taxonomy code 2080P0204X.

Is Bethany Kennedy enrolled in Medicare?

Yes. Bethany Kennedy is registered in the Medicare PECOS enrollment system.

When was this NPI record last updated?

The NPPES record for Bethany Kennedy was last updated on February 25, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.