KEVIN LEE KENWORTHY (M.D.) – Anesthesiology Physician, NPI 1437127875
Anesthesiology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
1,330 ANESTHESIOLOGY in GA
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Provider Addresses for KEVIN LEE KENWORTHY (M.D.)
South Georgia Medical Center, 2501, North Patterson Street, Five Points, Valdosta, Lowndes County, Georgia, 31602, United States
SGMC
VALDOSTA, GA 316021735
Phone: (229) 244-6852
Fax: (229) 242-2385
Type: Location
PO BOX 490
VALDOSTA, GA 316030490
Phone: (229) 244-6852
Fax: (229) 242-2385
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 4 Open Payments records for all available years, with a total value of $109.
Total Amount is formed as General ($109) + Research ($0) + Ownership ($0) = $109.
Last reported payment date: 2024-05-27 • Largest payer in this snapshot: Pacira Pharmaceuticals Incorporated ($41).
Total Amount
$109
General + Research + Ownership
Payments
4
Total payment records
General Amount
$109
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-05-27
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: 2011-02-03
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 |
|---|---|---|---|---|
| I20110203000664 | I | Anesthesiology | 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 |
|---|---|---|---|---|
| 00731 | Anesthesia for other procedure on esophagus, stomach, or upper small bowel using an endoscope | 41 | 40 | $0 |
| 00811 | Anesthesia for other procedure on large bowel using an endoscope | 39 | 38 | $0 |
| 00840 | Anesthesia for other procedure on lower abdomen | 21 | 20 | $0 |
| 00790 | Anesthesia for other procedure on upper abdomen | 20 | 20 | $0 |
| 00400 | Anesthesia for other procedure on skin of arms, legs, and front body | 19 | 19 | $0 |
Insurance plans in this area (ZIP 31602)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| ANESTHESIOLOGY | GA | 00142 | Anesthesia for lens surgery | 100 | 95 |
| ANESTHESIOLOGY | GA | 00790 | Anesthesia for procedure in upper abdomen including use of an endoscope | 17 | 17 |
| ANESTHESIOLOGY | GA | 01402 | Anesthesia for open or endoscopic total knee joint replacement | 23 | 23 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| Anesthesiology Assistant | MO | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | GA | |
| - | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| Anesthesiology Assistant | GA | |
| Certified Registered Nurse Anesthetist (Crna) | GA | |
| A N E S T H E S I O L O G Y | NC |
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