CALLIE KENNEDY – Anesthesiologist Assistant, NPI 1023412640
Anesthesiologist Assistant
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,383 ANESTHESIOLOGY ASSISTANT in GA
Provider Addresses for CALLIE KENNEDY
1255 HIGHWAY 54 W
FAYETTEVILLE, GA 302144526
Phone: (770) 719-7000
Type: Location
1968 PEACHTREE RD NW
ATLANTA, GA 303091281
Phone: (404) 605-5000
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 13 Open Payments records for all available years, with a total value of $273.
Total Amount is formed as General ($273) + Research ($0) + Ownership ($0) = $273.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($80).
Total Amount
$273
General + Research + Ownership
Payments
13
Total payment records
General Amount
$273
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-11-21
Latest reported date
Top Companies
Largest payers in this snapshot
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: 2015-02-18
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
- Medicare enrolled
- On CMS revalidation list
- Due date assigned
- Revalidate in PECOS
CMS enrollment records
| Enrollment ID | Type | Specialty | State | Due date |
|---|---|---|---|---|
| I20150218001069 | I | Anesthesiology Assistant | GA | TBD |
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.
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.
Top Medicare procedures (2023) · refreshed 2026-05-27
| HCPCS | Description | Services | Beneficiaries | Medicare allowed |
|---|---|---|---|---|
| 00670 | Anesthesia for extensive surgery on spine | 12 | 12 | $0 |
Insurance plans in this area (ZIP 30214)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | GA | |
| Anesthesiology Assistant | FL | |
| Anesthesiology, Interventional Pain Management, Pain Management | GA | |
| - | FL | |
| Anesthesiology Assistant | FL | |
| A N E S T H E S I O L O G Y | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | PA | |
| Anesthesiology Assistant | FL | |
| - | FL |
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