KENNEDY BELANGEE (OD) – Optometrist, NPI 1255011060

KENNEDY BELANGEE (OD) is a healthcare provider. based in Augusta, Georgia. specializing in OPTOMETRY. They hold the professional credentials OD. They hold a License No. 2466 (SC). The NPI Number for KENNEDY BELANGEE (OD) is 1255011060

Main info

Female
3 Years Of Experience
Accepts Medicare Assignment
Name
KENNEDY BELANGEE (OD)
NPI
1255011060
Phone
(706) 651-2020
Address
1330 INTERSTATE PKWY
Enumeration Date
18 July 2023
Last Update Date
22 August 2024

Doctor Profile

Medical School Name
INDIANA UNIVERSITY - SCHOOL OF OPTOMETRY
Secondary Phone
7066512020
Graduation Year
2023 (3 years ago)
PAC ID
7517401276
Group Practice PAC ID
4789678343
Professional Enrollment ID
I20240705000807
Address ID
GA309095625AU1330XPKWY300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience46
Completeness75
Years active:2State licenses:3Digital endpointsOther names

958 OPTOMETRY in GA

Provider Addresses for KENNEDY BELANGEE (OD)

  • 1330 INTERSTATE PKWY

    AUGUSTA, GA 309095625

    Phone: (706) 651-2020

    Type: Location

  • 1140 W Royerton Rd

    Muncie, IN 473039426

    Phone: (765) 717-4262

    Type: Location

  • 792 Silver Bluff Rd

    Aiken, SC 298036055

    Phone: (803) 642-9902

    Type: Location

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 $607.

Total Amount is formed as General ($607) + Research ($0) + Ownership ($0) = $607.

Last reported payment date: 2024-12-20 • Largest payer in this snapshot: Glaukos Corporation ($258).

Total Amount

$607

General + Research + Ownership

Payments

13

Total payment records

General Amount

$607

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

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: 2024-09-16

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking 2 Medicare enrollment records; no due dates published yet.

Enrollment records

2

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
I20240705000807IOptometryGATBD
I20240916001169IOptometrySCTBD

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 30909)

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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: 4789678343View full group profile
NameSpecialtyState
O P H T H A L M O L O G YGA
O P H T H A L M O L O G YIA
-GA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
-GA
O P T O M E T R YVA
O P H T H A L M O L O G YGA
O P T O M E T R YGA
O P H T H A L M O L O G YGA

Reviews

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Frequently asked questions

What unique ID ties claims to KENNEDY BELANGEE (OD)?
NPI 1255011060 is assigned to KENNEDY BELANGEE (OD) under the national enumeration system.
Is KENNEDY BELANGEE (OD) active in the national directory?
KENNEDY BELANGEE (OD)'s public NPI profile is in an active state.
Does KENNEDY BELANGEE (OD) list a primary specialty?
If you are matching referrals, note Optometrist for KENNEDY BELANGEE (OD). Clinical services aligned with this taxonomy classification.
What location shows for KENNEDY BELANGEE (OD)?
We surface Augusta, Georgia for KENNEDY BELANGEE (OD) based on available NPPES addresses.
How can I contact KENNEDY BELANGEE (OD)?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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