ANDREA M KENNEDY – Surgical Physician Assistant, NPI 1083120588

ANDREA M KENNEDY is a healthcare provider. based in Lawrenceville, Georgia. specializing in Surgical Physician Assistant. They hold a License No. 175866 (GA). The NPI Number for ANDREA M KENNEDY is 1083120588

Main info

Female
Sole Proprietor
Name
ANDREA M KENNEDY
NPI
1083120588
Phone
(678) 312-1000
Address
1000 Medical Center Blvd
Enumeration Date
19 December 2017
Last Update Date
27 December 2021
Data current as of
20 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience45
Completeness75
Years active:8State licenses:1Digital endpointsOther names

Provider Addresses for ANDREA M KENNEDY

  • 1000 Medical Center Blvd

    Lawrenceville, GA 300467694

    Phone: (678) 312-1000

    Type: Location

  • 2311 RIDGE FOREST DR

    GRAYSON, GA 300171718

    Phone: (678) 656-6819

    Type: Mailing

  • Eastside Medical Center, 1700, Medical Way, Snellville, Gwinnett County, Georgia, 30078, United States

    SNELLVILLE, GA 300782195

    Phone: (770) 979-0200

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

CMS reports 9 Open Payments records for all available years, with a total value of $573.

Total Amount is formed as General ($573) + Research ($0) + Ownership ($0) = $573.

Last reported payment date: 2024-08-27 • Largest payer in this snapshot: Baxter Healthcare ($517).

Total Amount

$573

General + Research + Ownership

Payments

9

Total payment records

General Amount

$573

General payments

Research Amount

$0

Research funding

Ownership Amount

$0

Ownership interests

Ownership Count

0

Ownership records

Last Payment Date

2024-08-27

Latest reported date

Top Companies

Largest payers in this snapshot

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Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

No Medicare enrollment or revalidation data available for this provider in our database.

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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 30046)

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Reviews

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Frequently asked questions

What number should I use to identify ANDREA M KENNEDY for billing?
Administrative and clinical systems typically use NPI 1083120588 for ANDREA M KENNEDY.
Is ANDREA M KENNEDY's NPI status active today?
Active status means ANDREA M KENNEDY's NPI record is not deactivated in the public file.
Which specialty label fits ANDREA M KENNEDY?
NPPES ties ANDREA M KENNEDY to Surgical Physician Assistant in the taxonomy section. Clinical services aligned with this taxonomy classification.
Is ANDREA M KENNEDY tied to Lawrenceville, Georgia?
If you are local to Lawrenceville, Georgia, ANDREA M KENNEDY may be relevant to your search.
Who maintains ANDREA M KENNEDY's record?
Providers certify NPPES data; CMS hosts the public file you are viewing.

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