ANTHONY BRAXTON KENNEDY (CRNP) – Family Nurse Practitioner, NPI 1922790773

ANTHONY BRAXTON KENNEDY (CRNP) is a healthcare provider. based in Eufaula, Alabama. specializing in NURSE PRACTITIONER. They hold the professional credentials CRNP. They hold a License No. 1-176649 (AL). The NPI Number for ANTHONY BRAXTON KENNEDY (CRNP) is 1922790773

Main info

Male
3 Years Of Experience
Accepts Medicare Assignment
Name
ANTHONY BRAXTON KENNEDY (CRNP)
NPI
1922790773
Phone
(334) 619-0904
Address
323 E Barbour St
Enumeration Date
22 May 2023
Last Update Date
22 May 2023

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3344457337
Graduation Year
2023 (3 years ago)
PAC ID
2466815089
Group Practice PAC ID
0749245330
Professional Enrollment ID
I20230830002222
Address ID
AL363608650OZ2125XRDXX500
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience30
Completeness75
Years active:3State licenses:1Digital endpointsOther names

5,653 NURSE PRACTITIONER in AL

Provider Addresses for ANTHONY BRAXTON KENNEDY (CRNP)

  • 323 E Barbour St

    Eufaula, AL 360271603

    Phone: (334) 619-0904

    Fax: (334) 689-5200

    Type: Location

  • 2125 W Roy Parker Rd

    Ozark, AL 363608650

    Phone: (334) 445-7337

    Fax: (334) 432-8001

    Type: Location

  • 526 Boll Weevil Cir

    Enterprise, AL 363304012

    Phone: (334) 308-1166

    Fax: (334) 489-3002

    Type: Location

  • 5565 Montgomery Hwy

    Dothan, AL 363031552

    Phone: (334) 699-3733

    Fax: (334) 500-3007

    Type: Location

  • 126 CLINIC DR

    DOTHAN, AL 363031980

    Phone: (334) 793-1881

    Fax: (334) 712-1815

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 22 Open Payments records for all available years, with a total value of $504.

Total Amount is formed as General ($504) + Research ($0) + Ownership ($0) = $504.

Last reported payment date: 2024-12-19 • Largest payer in this snapshot: JAZZ PHARMACEUTICALS INC. ($209).

Total Amount

$504

General + Research + Ownership

Payments

22

Total payment records

General Amount

$504

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-12-19

Latest reported date

Top Companies

Largest payers in this snapshot

View all Open Payments →|Open Payments Risk Radar →

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2023-08-30

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20230830002222INurse PractitionerALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36027)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 0749245330View full group profile
NameSpecialtyState
Pediatric Medicine, GastroenterologyAL
-AL
Nurse PractitionerAL
Pulmonary Disease, Pediatric Medicine, Sleep MedicineAL
-AL
Nurse PractitionerAL
Pediatric MedicineAL
Endocrinology, Pediatric MedicineAL
-AL

Reviews

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Frequently asked questions

Does ANTHONY BRAXTON KENNEDY (CRNP) share an NPI with anyone else?
NPI numbers are unique to each provider or organization — ANTHONY BRAXTON KENNEDY (CRNP) uses 1922790773.
Is ANTHONY BRAXTON KENNEDY (CRNP) listed as active for patients and plans?
The listing shows ANTHONY BRAXTON KENNEDY (CRNP) as active in the NPI system.
What is ANTHONY BRAXTON KENNEDY (CRNP)'s primary classification?
Family Nurse Practitioner is the headline specialty for ANTHONY BRAXTON KENNEDY (CRNP) here. Clinical services aligned with this taxonomy classification.
What area does ANTHONY BRAXTON KENNEDY (CRNP) serve?
ANTHONY BRAXTON KENNEDY (CRNP)'s listing highlights Eufaula, Alabama; more addresses can appear in NPPES.
Is the information about ANTHONY BRAXTON KENNEDY (CRNP) up to date?
Data updates when providers file changes in NPPES — treat critical facts as "verify if unsure."

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