DR. DENISE SMITH KENNEDY (MD) – Family Medicine Physician, NPI 1104867191
Family Medicine Physician
Main info
Doctor Profile
Contacts
Profile Insights
NPPES metrics only — not quality of care.
3,102 FAMILY PRACTICE in GA
Provider Addresses for DR. DENISE SMITH KENNEDY (MD)
3614 J Dewey Gray Cir Ste D
Augusta, GA 309096512
Phone: (706) 868-7380
Fax: (706) 868-7223
Type: Location
J Dewey Gray Circle, Augusta, Richmond County, Georgia, 30990, United States
AUGUSTA, GA 30909
Phone: (706) 868-7380
Fax: (706) 868-7223
Type: Location
Evans, Box Elder County, Utah, United States
EVANS, GA 308092510
Phone: (706) 922-8251
Fax: (706) 650-9540
Type: Mailing
254 FURYS FERRY RD
AUGUSTA, GA 309073118
Phone: (706) 986-0999
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 273 Open Payments records for all available years, with a total value of $4,887.
Total Amount is formed as General ($4,887) + Research ($0) + Ownership ($0) = $4,887.
Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Novo Nordisk Inc ($964).
Total Amount
$4,887
General + Research + Ownership
Payments
273
Total payment records
General Amount
$4,887
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-12-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Novo Nordisk Inc | $964 |
| Lilly USA, LLC | $582 |
| GlaxoSmithKline, LLC. | $458 |
| PFIZER INC. | $246 |
| ABBVIE INC. | $233 |
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: 2010-03-11
PECOS data refreshed: 2026-05-27
Medicare revalidation (CMS due date list)
Past revalidation due date
Earliest CMS due date was 2023-07-31 (1043 days ago).
Enrollment records
2
Earliest due date
2023-07-31
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 |
|---|---|---|---|---|
| I20091027000667 | I | Family Practice | SC | 2023-07-31 |
| I20100311000047 | I | Family Practice | GA | TBD |
What to do next
- Verify current status on the CMS Revalidation Lookup Tool immediately.
- Complete revalidation in PECOS or contact your Medicare Administrative Contractor (MAC).
- Overdue revalidation can lead to deactivation of Medicare billing privileges.
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 |
|---|---|---|---|---|
| 99214 | Established patient office or other outpatient visit, 30-39 minutes | 643 | 349 | $0 |
| 36415 | Insertion of needle into vein for collection of blood sample | 538 | 332 | $0 |
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 424 | 296 | $0 |
| 85025 | Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count | 343 | 292 | $0 |
| 80053 | Blood test, comprehensive group of blood chemicals | 313 | 287 | $0 |
Insurance plans in this area (ZIP 30909)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| FAMILY MEDICINE | GA | 83036 | Hemoglobin A1C level | 279 | 150 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Family Practice | SC | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| Family Practice | GA | |
| Nurse Practitioner | GA | |
| - | GA | |
| Family Practice | GA | |
| Family Practice, Emergency Medicine | GA | |
| Family Practice | GA | |
| Hospitalist, Family Practice | GA |
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