MR. HOWARD MICHAEL JR. KENNEDY (PA-C) – Physician Assistant, NPI 1942280052

MR. HOWARD MICHAEL JR. KENNEDY (PA-C) is a healthcare provider. based in Ooltewah, Tennessee. specializing in Physician Assistant. They hold the professional credentials PA-C. They hold a License No. 408 (TN). The NPI Number for MR. HOWARD MICHAEL JR. KENNEDY (PA-C) is 1942280052

Main info

Male
34 Years Of Experience
Accepts Medicare Assignment
Name
MR. HOWARD MICHAEL JR. KENNEDY (PA-C)
NPI
1942280052
Phone
(423) 432-3130
Address
4957 SWINYAR DR STE 109
Enumeration Date
17 January 2006
Last Update Date
26 January 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
-
Graduation Year
1992 (34 years ago)
PAC ID
4385682400
Professional Enrollment ID
I20050420000181
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience69
Completeness75
Years active:20State licenses:1Digital endpointsOther names

Provider Addresses for MR. HOWARD MICHAEL JR. KENNEDY (PA-C)

  • 4957 SWINYAR DR STE 109

    OOLTEWAH, TN 373632205

    Phone: (423) 432-3130

    Fax: (423) 396-9508

    Type: Mailing

  • Ooltewah-Ringold Road;US 41, Ringgold, Catoosa County, Georgia, 30736, United States

    9413 APISON PIKE

    OOLTEWAH, TN 373635628

    Phone: (423) 396-9893

    Type: Mailing

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 1 Open Payments records for all available years, with a total value of $13.

Total Amount is formed as General ($13) + Research ($0) + Ownership ($0) = $13.

Last reported payment date: 2023-04-04 • Largest payer in this snapshot: GlaxoSmithKline, LLC. ($13).

Total Amount

$13

General + Research + Ownership

Payments

1

Total payment records

General Amount

$13

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2023-04-04

Latest reported date

Top Companies

Largest payers in this snapshot

CompanyAmount
GlaxoSmithKline, LLC.$13
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: 2005-04-20

PECOS data refreshed: 2026-06-15

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

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20050420000181IPhysician AssistantTNTBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
99213Established patient office or other outpatient visit, 20-29 minutes16383$0
99214Established patient office or other outpatient visit, 30-39 minutes9564$0
36415Insertion of needle into vein for collection of blood sample7456$0
View full utilization report →

Insurance plans in this area (ZIP 37363)

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Reviews

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Frequently asked questions

How do I look up MR. HOWARD MICHAEL JR. KENNEDY (PA-C) by NPI?
Use NPI 1942280052 when you need to reference MR. HOWARD MICHAEL JR. KENNEDY (PA-C) in forms, claims, or directories.
Is MR. HOWARD MICHAEL JR. KENNEDY (PA-C) active in the national directory?
MR. HOWARD MICHAEL JR. KENNEDY (PA-C)'s public NPI profile is in an active state.
Can you summarize MR. HOWARD MICHAEL JR. KENNEDY (PA-C)'s specialty in plain language?
Clinically, the directory lists MR. HOWARD MICHAEL JR. KENNEDY (PA-C) with Physician Assistant. Clinical services aligned with this taxonomy classification.
Where does public data place MR. HOWARD MICHAEL JR. KENNEDY (PA-C)?
The snapshot lists Ooltewah, Tennessee for MR. HOWARD MICHAEL JR. KENNEDY (PA-C); download NPPES for the complete set.
Is MR. HOWARD MICHAEL JR. KENNEDY (PA-C) a real provider?
This page reflects official NPPES data for NPI 1942280052. Always confirm identity and privileges with the practice and licensing boards.

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