DR. PHILIP R KENNEDY MD
NPI 1912903485
Psychiatry & Neurology - Neurology in Duluth, GA

Q: What is Philip Kennedy's NPI number?

The NPI number for Philip Kennedy is 1912903485. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Q: What is Philip Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Q: When was this NPI record last updated?

The NPPES record for Philip Kennedy was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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 June 21, 2005PECOS Enrolled

3400 MCCLURE BRIDGE RD, SUITE D401, DULUTH, GA 30096(770) 622-2230(770) 622-9741 Get Directions Write a Review

NPPES record last updated: January 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Dr. Philip R Kennedy Md NPPES

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

DR. PHILIP R KENNEDY MD (NPI 1912903485) is an individual neurology provider in Duluth, Georgia, licensed in Georgia (GA03970B) and active in the NPI registry since June 2005. He is enrolled in Medicare PECOS.

NPPES Registry Identity

NPI1912903485

Entity TypeIndividualMale

Primary Taxonomy2084N0400X

Provider Legal NameDR. PHILIP R KENNEDYCredential: MD

Location Address3400 MCCLURE BRIDGE RD, SUITE D401Duluth, GA 30096-6675

Mailing Address3400 Mcclure Bridge Rd, Suite D401Duluth, GA 30096-6675 · (770) 622-2230 · Fax (770) 622-9741

Phone(770) 622-2230

Fax(770) 622-9741

Sole ProprietorYes

Enumeration DateJune 21, 2005

Last NPPES UpdateJanuary 23, 2009

✔ NPI 1912903485 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPsychiatry & Neurology · NeurologyAllopathic & Osteopathic Physicians

Taxonomy Code2084N0400X

License✔ Licensed in GA · GA03970B

Definition

A Neurologist specializes in the diagnosis and treatment of diseases or impaired function of the brain, spinal cord, peripheral nerves, muscles, autonomic nervous system, and blood vessels that relate to these structures.

3400 MCCLURE BRIDGE RD, Duluth, GA 30096

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Other Identifiers 3

Medicaid000772813AGA

Medicare ID-Type UnspecifiedGRP4308GA

Medicare UPING54510GA

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Dr. Philip R Kennedy Md is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

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 30096 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

$130.64 typical visit price

range $56.84 – $172.43

Typical copayment $32.66 (range $14.21 – $43.10)

Most-billed visit code 99204

Established Patient

$100.20 typical visit price

range $18.22 – $140.40

Typical copayment $25.05 (range $4.55 – $35.10)

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.

Referred Medical Equipment & Supplies CMS DME claims 4

Durable medical equipment, devices and supplies this provider ordered from DME suppliers for patients, from Medicare fee-for-service claims.

Nasal interface (mask or cannula type) used with positive airway pressure device, with or without head strap A7034

DME-Other DME · category DE001N

3 suppliers11 claims11 services$45.49 avg. paid by Medicare

Headgear used with positive airway pressure device A7035

DME-Other DME · category DE001N

4 suppliers12 claims12 services$15.31 avg. paid by Medicare

Filter, disposable, used with positive airway pressure device A7038

DME-Other DME · category DE001N

4 suppliers15 claims90 services$1.62 avg. paid by Medicare

Continuous positive airway pressure (cpap) device E0601

DME-Other DME · category DE001N

5 suppliers19 claims19 services$25.22 avg. paid by Medicare

Dollar amounts are the average Medicare paid the supplier per service. They are not the cost to the patient.

Other Providers at the Same Location NPPES 17

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

ALPHA RECOVERY GROUP INC

Clinic/Center (Methadone)

3400 MCCLURE BRIDGE RD, BUILDING C, SUIT A&B
DULUTH, GA 30096

Gwinnett County (770) 896-6730

MBS CONNECTION LLC

Clinic/Center (Health Service)

3400 MCCLURE BRIDGE RD, BLDG F, STE A
DULUTH, GA 30096

Gwinnett County (678) 371-6463

COMMUNITY NEUROLOGICAL CLINIC

Specialist

3400 MCCLURE BRIDGE RD, SUITE D401
DULUTH, GA 30096

Gwinnett County (770) 622-2230

DR. RAMANI GOWDUCHERUVU DDS

Dentist (Oral and Maxillofacial Surgery)

3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096

Gwinnett County (770) 476-8576

SURGICAL ASSISTANTS OF AMERICA, INC.

Surgery

3400 MCCLURE BRIDGE RD, BUILDING B201
DULUTH, GA 30096

Gwinnett County (678) 957-8801

NORTH GEORGIA ORAL AND FACIAL SURGERY LLC

Dentist (Oral and Maxillofacial Surgery)

3400 MCCLURE BRIDGE RD, BLDG G, SUITES B AND C
DULUTH, GA 30096

Gwinnett County (770) 476-8576

SURGICAL

Physician Assistant (Surgical)

3400 MCCLURE BRIDGE RD, BUILDING B
DULUTH, GA 30096

Gwinnett County (678) 957-8801

ELLIOTT BUTLER PA-C

Physician Assistant (Surgical)

3400 MCCLURE BRIDGE RD, B201
DULUTH, GA 30096

Gwinnett County (678) 957-8801

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 Philip Kennedy's NPI number?

The NPI number for Philip Kennedy is 1912903485. It was assigned to this individual provider in the NPPES registry on June 21, 2005.

Where is Philip Kennedy located?

Philip Kennedy practices at 3400 Mcclure Bridge Rd Suite D401, Duluth, GA 30096. The listed phone number is (770) 622-2230.

What is Philip Kennedy's specialty?

The primary specialty registered for this NPI is Psychiatry & Neurology, specializing in Neurology, with taxonomy code 2084N0400X.

Is Philip Kennedy enrolled in Medicare?

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

When was this NPI record last updated?

The NPPES record for Philip Kennedy was last updated on January 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years 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.