JAN C KENNEDY (MD) – Anatomic Pathology & Clinical Pathology Physician, NPI 1548265390
Anatomic Pathology & Clinical Pathology Physician
Main info
Doctor Profile
Profile Insights
NPPES metrics only — not quality of care.
391 PATHOLOGY in GA
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Provider Addresses for JAN C KENNEDY (MD)
North Decatur Road, Decatur, DeKalb County, Georgia, 30032, United States
PATHOLOGY DEPT
DECATUR, GA 300335918
Phone: (404) 501-1000
Type: Location
PO BOX 1457
BLUEFIELD, WV 247011457
Phone:
Type: Mailing
NPPES updates history
No NPPES updates recorded for this provider.
Prescription Activity
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Open Payments (CMS)
CMS reports 2 Open Payments records for all available years, with a total value of $94.
Total Amount is formed as General ($94) + Research ($0) + Ownership ($0) = $94.
Last reported payment date: 2024-10-20 • Largest payer in this snapshot: Astellas Pharma US Inc ($74).
Total Amount
$94
General + Research + Ownership
Payments
2
Total payment records
General Amount
$94
General payments
Research Amount
$0
Research funding
Ownership Amount
$0
Ownership interests
Ownership Count
0
Ownership records
Last Payment Date
2024-10-20
Latest reported date
Top Companies
Largest payers in this snapshot
| Company | Amount |
|---|---|
| Astellas Pharma US Inc | $74 |
| AstraZeneca Pharmaceuticals LP | $20 |
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: 2004-06-07
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 |
|---|---|---|---|---|
| I20040607000342 | I | Pathology | 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 |
|---|---|---|---|---|
| 88305 | Pathology examination of tissue using a microscope, intermediate complexity | 276 | 167 | $0 |
| 88341 | Special stained specimen slides to examine tissue, each additional procedure | 95 | 21 | $0 |
| 88342 | Special stained specimen slides to examine tissue, initial procedure | 69 | 58 | $0 |
| 88361 | Microscopic genetic analysis of tumor, using computer-assisted technology | 60 | 16 | $0 |
| 88307 | Pathology examination of tissue using a microscope, moderately high complexity | 57 | 37 | $0 |
Insurance plans in this area (ZIP 30033)
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Provider's Procedures
| Specialty | Practice State | HCPCS Code | Description | Service Count | Beneficiary Count |
|---|---|---|---|---|---|
| PATHOLOGY | GA | 88342 | Tissue or cell analysis by immunologic technique | 59 | 48 |
Group practice members
| Name | Specialty | State |
|---|---|---|
| P A T H O L O G Y | WV | |
| - | WV | |
| P A T H O L O G Y | GA | |
| - | AZ | |
| P A T H O L O G Y | AZ | |
| P A T H O L O G Y | PA | |
| - | VA | |
| P A T H O L O G Y | GA | |
| - | VA | |
| P A T H O L O G Y | AZ |
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