ANTHONY BRAXTON KENNEDY CRNP
NPI 1922790773
Nurse Practitioner - Family in Dothan, AL

Active since May 22, 2023PECOS EnrolledAccepts Medicare Assignment
126 CLINIC DR, DOTHAN, AL 36303(334) 793-1881(334) 712-1815 Get Directions Write a Review

NPPES record last updated: May 22, 2023. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Anthony Braxton Kennedy Crnp NPPES

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

ANTHONY BRAXTON KENNEDY CRNP (NPI 1922790773) is an individual family provider in Dothan, Alabama, licensed in Alabama (1-176649) and active in the NPI registry since May 2023. He is enrolled in Medicare PECOS, maintains 4 additional practice locations, and is a graduate of Other (2023).

NPPES Registry Identity

NPI1922790773
Entity TypeIndividualMale
Primary Taxonomy363LF0000X
Provider Legal NameANTHONY BRAXTON KENNEDYCredential: CRNP
Location Address126 CLINIC DRDothan, AL 36303-1980
Mailing Address126 Clinic DrDothan, AL 36303-1980 · (334) 793-1881 · Fax (334) 712-1815
Fax(334) 712-1815
Sole ProprietorNo
Medical School CMSOtherGraduated 2023
Enumeration DateMay 22, 2023
NPPES CertifiedMay 17, 2023
NPI 1922790773 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 · 1-176649
126 CLINIC DR, Dothan, AL 36303

Secondary Practice Locations 4

Location 12125 W Roy Parker RdOzark, AL 36360-8650 · Phone (334) 445-7337 · Fax (334) 432-8001
Location 2323 E Barbour StEufaula, AL 36027-1603 · Phone (334) 619-0904 · Fax (334) 689-5200
Location 35565 Montgomery HwyDothan, AL 36303-1552 · Phone (334) 699-3733 · Fax (334) 500-3007
Location 4526 Boll Weevil CirEnterprise, AL 36330-4012 · Phone (334) 308-1166 · Fax (334) 489-3002

Accepted Insurance

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

Anthony Braxton Kennedy Crnp 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 ID2466815089
PECOS Enrollment IDI20230830002222
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 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 20

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

Psychologist
126 CLINIC DR
DOTHAN, AL 36303
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Pediatrics
126 CLINIC DR
DOTHAN, AL 36303
Nurse Practitioner (Family)
126 CLINIC DR
DOTHAN, AL 36303
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303
Nurse Practitioner (Pediatrics)
126 CLINIC DR
DOTHAN, AL 36303

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 Anthony Kennedy's NPI number?

The NPI number for Anthony Kennedy is 1922790773. It was assigned to this individual provider in the NPPES registry on May 22, 2023.

Where is Anthony Kennedy located?

Anthony Kennedy practices at 126 Clinic Dr, Dothan, AL 36303. The listed phone number is (334) 793-1881.

What is Anthony Kennedy's specialty?

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

Is Anthony Kennedy enrolled in Medicare?

Yes. Anthony Kennedy 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.

What insurance does Anthony Kennedy accept?

Health plans from Ambetter Health, Ambetter of Alabama, Blue Cross and Blue Shield of Alabama and Oscar Insurance Company list Anthony Kennedy 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 Anthony Kennedy was last updated on May 22, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.