JOHN SARGENT KENNEDY (M.D.) – Specialist, NPI 1275526386
Specialist
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,092 GENERAL SURGERY in GA
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Provider Addresses for JOHN SARGENT KENNEDY (M.D.)
2665, North Decatur Road, Scottdale, DeKalb County, Georgia, 30033, United States
SUITE 730
DECATUR, GA 300336149
Phone: (404) 508-4320
Fax: (404) 508-4112
Type: Mailing
1462 Montreal Rd Ste 303
Tucker, GA 300846924
Phone: (404) 508-4320
Fax: (404) 508-4112
Type: Location
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 7 Open Payments records for all available years, with a total value of $259.
Total Amount is formed as General ($259) + Research ($0) + Ownership ($0) = $259.
Last reported payment date: 2024-11-21 • Largest payer in this snapshot: Edwards Lifesciences Corporation ($98).
Total Amount
$259
General + Research + Ownership
Payments
7
Total payment records
General Amount
$259
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: 2010-10-14
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 |
|---|---|---|---|---|
| I20101014000394 | I | General Surgery | 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 |
|---|---|---|---|---|
| 99213 | Established patient office or other outpatient visit, 20-29 minutes | 92 | 66 | $0 |
| 99212 | Established patient office or other outpatient visit, 10-19 minutes | 42 | 36 | $0 |
| 99203 | New patient office or other outpatient visit, 30-44 minutes | 26 | 26 | $0 |
| 76536 | Ultrasound scan of head and neck soft tissue | 20 | 17 | $0 |
| 99204 | New patient office or other outpatient visit, 45-59 minutes | 17 | 17 | $0 |
Insurance plans in this area (ZIP 30033)
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Group practice members
| Name | Specialty | State |
|---|---|---|
| N E U R O S U R G E R Y | FL | |
| Nurse Practitioner | GA | |
| General Surgery | GA | |
| Colorectal Surgery (Proctology) | GA | |
| - | GA | |
| - | GA | |
| Vascular Surgery | GA | |
| - | GA | |
| - | GA | |
| - | GA |
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