| NPI | 1275526386 |
|---|---|
| NPI Type | NPI-1 Individual |
| Status | Active |
| Enumeration Date | 2005-08-24 |
| Last Updated | 2025-01-15 |
| Mailing Address | 2665 N Decatur Rd, Suite 730 Decatur, GA 30033-6149 United States Phone: (404) 508-4320 | Fax: (404) 508-4112 📍 View Map |
| Primary Practice Address | 2665 N Decatur Rd, Suite 730 Decatur, GA 30033-6149 United States Phone: (404) 508-4320 | Fax: (404) 508-4112 📍 View Map |
| Issuer | State | Number | Other Issuer |
|---|---|---|---|
| MEDICAID | GA | 00280167C | - |
| Primary | Taxonomy Code & Description | State | License Number |
|---|---|---|---|
| Yes | 208600000X – Surgery | GA | 25193 |
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About NPI 1275526386
John Sargent Kennedy M.D. is a healthcare provider registered in the CMS NPPES NPI Registry with NPI number 1275526386. The primary specialty listed is Surgery. The provider is located in Decatur, GA. This NPI is classified as a Type 1 (Individual) NPI and is currently active. The NPI was first enumerated (assigned) on 2005-08-24. All data is sourced directly from the official CMS NPPES public API and is updated daily.
Frequently Asked Questions
What is NPI 1275526386?
NPI 1275526386 belongs to John Sargent Kennedy M.D., a Surgery in Decatur, GA. It is a Type 1 Individual NPI registered in the CMS NPPES NPI Registry.
Is NPI 1275526386 active?
The current status of NPI 1275526386 in the NPPES registry is Active. The record was last updated on 2025-01-15.
What specialty is NPI 1275526386?
NPI 1275526386 is classified under the taxonomy Surgery. Taxonomy codes in NPPES are maintained by the National Uniform Claim Committee (NUCC) and identify the provider's type, classification, and specialization.
How do I verify NPI 1275526386?
You can verify NPI 1275526386 at the official CMS NPPES website at npiregistry.cms.hhs.gov or using our free NPI Lookup tool above. All data shown on this page is sourced directly from the official NPPES public API and is updated daily by CMS.
What address is on file for NPI 1275526386?
The primary practice address on file for NPI 1275526386 is 2665 N Decatur Rd, Decatur, GA 30033-6149. This address is registered in the NPPES system and providers are required to update it within 30 days of any change.
When was NPI 1275526386 issued?
NPI 1275526386 was first issued (enumerated) on 2005-08-24. The NPPES record was last updated on 2025-01-15.
Practice Location Map
John Sargent Kennedy is located at 2665 N Decatur Rd, Decatur, GA. Use the map below to find directions or verify the practice location.
Related Healthcare Providers
The following providers share the same practice location, specialty, or state as John Sargent Kennedy. All records sourced from the CMS NPPES registry.
License Information
The following state license numbers are on file in the NPPES registry for NPI 1275526386. For license status verification, contact the relevant state licensing board directly.
| Specialty / Taxonomy | License Number | State |
|---|---|---|
| Surgery | 25193 | GA |