ANDREA M KENNEDY (NPI# 1083120588) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083120588 |
| Entity Type | Individual |
| Full Name | ANDREA M KENNEDY |
| Practice Address |
1700 Medical Way Snellville GA 30078-2195 |
| Mailing Address |
2311 Ridge Forest Dr Grayson GA 30017-1718 |
| Practice Telephone | 7709790200 |
| Mailing Telephone | 6786566819 |
| Enumeration Date | 2017-12-19 |
| Last Update Date | 2018-03-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 246ZC0007X |
Specialist/Technologist, Other Specialization: Surgical Assistant |
GA | Technologists, Technicians & Other Technical Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 1000 Medical Center Blvd, Lawrenceville, GA 300467694 | 6783121000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144571738 | Andrea Lynn Kennedy | Occupational Therapist | 120 Springhall Dr, Goose Creek, SC 29445-5335 | 2012-09-24 |
| 1831321348 | Andrea Marie Kennedy | Nurse Practitioner | 3041 E Copper Point Dr, Meridian, ID 83642-1740 | 2009-08-17 |
| Street Address |
1700 MEDICAL WAY |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30078-2195 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568467447 | Edwin W Nunnery Jr. | Pathology | 1700 Medical Way, Snellville, GA 30078-2195 | 2005-06-16 |
| 1871193037 | Olakemi L Adenuga | Registered Nurse | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-10-27 |
| 1922625102 | Fiji George | Pharmacist | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-07-03 |
| 1033738349 | Kathryn Iwasaki | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-04-16 |
| 1669005880 | Sarah Marlene Anderson | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2020-02-17 |
| 1942866926 | Samantha Alice Stellmacher | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2019-05-15 |
| 1205316189 | Stephanie Alyse Powell | Anesthesiologist Assistant | 1700 Medical Way, Anesthesia Department, Snellville, GA 30078 | 2018-08-20 |
| 1053899724 | Micheal Tyrone Wright | Nurse Practitioner | 1700 Medical Way, Snellville, GA 30078-2195 | 2018-08-03 |
| 1861848210 | Umair Rahim Shaikh | Internal Medicine | 1700 Medical Way, Snellville, GA 30078-2195 | 2016-05-04 |
| 1124485412 | Constellation Emergency Physicians, LLC | Physician Assistant | 1700 Medical Way, Snellville, GA 30078-2195 | 2016-01-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619594561 | Steven Nguyen | Optometrist | 1905 Scenic Hwy S #1130, Snellville, GA 30078 | 2020-06-26 |
| 1891320776 | Youstina Harkas | Optometrist | 1679 Scenic Hwy S 203, Snellville, GA 30078 | 2020-03-11 |
| 1578101127 | Jwwt Neuoromonitoring, LLC | Psychiatry & Neurology | 1350 Scenic Highway, Suite 266, Snelville, GA 30078 | 2019-12-13 |
| 1679119903 | Lashon Poole Wells | Social Worker | 1350 Scenic Highway Ste 266, 1350 Scenic Highway Ste 266, Snellville, GA 30078 | 2019-11-21 |
| 1427601426 | Aemad Heavenly Joy Senior Homecare & Developmental Disabilities LLC | Registered Nurse | 1350 Scenic Highway Suite #266, Sneville, GA 30078 | 2019-07-18 |
| 1063975548 | Joanne Mcdougal Patterson | Nurse Practitioner | 1350 Scenic Hwy N Ste 226, Snellville, GA 30078 | 2019-04-10 |
| 1689144263 | Israel Branford | Physical Therapist | 1575 Scenic Hwy Ste 100, Snellville, GA 30078 | 2018-11-27 |
| 1902382997 | Brittany Dupree | Dermatology | 2383 Pate Street North, Snellville, GA 30078 | 2018-07-13 |
| 1134610926 | Reid Weston Popple | Dentist | 2992 Stone Mountain Hwy, A100, Snellville, GA 30078 | 2018-05-29 |
| 1326550492 | Optimal Healthcare Services LLC | Clinic/Center | 2121 Fountain Dr Ste F, Snellville, GA 30078 | 2017-10-30 |
| Find all providers in zip 30078 | ||||
| Taxonomy Code | 246ZC0007X |
| Grouping | Technologists, Technicians & Other Technical Service Providers |
| Classification | Specialist/Technologist, Other |
| Specialization | Surgical Assistant |
| A surgical assistant is a skilled practitioner who has undergone formalized education and training as a surgical assistant. The surgical assistant performs surgical functions that include, but are not limited to: retracting, manipulating, suturing, clamping, cauterizing, litigating, and tying tissue; suctioning, irrigating and sponging; positioning the patient; closure of body planes and skin; and participating in hemostasis and volume replacement. Surgical assistants are certified and registered or licensed by the state, or, in states without licensure, certified as surgical assistants by completing appropriate education and training. |
| Notes: Source: Association of Surgical Assistants, 2014. [7/1/2014: title modified, definition modified] http://www.surgicalassistant.org/index.php/surgical-assisting Additional Resources: National Surgical Assistant Association, www.nsaa.net. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558507525 | Preferred Surgeon's Assistants | Specialist/Technologist, Other | 2483 Heritage Vlg, Suite 16 238, Snellville, GA 30078-6140 | 2008-12-23 |
| 1033308739 | Wendy K Grage | Specialist/Technologist, Other | 1553 Janmar Rd, Snellville, GA 30078-5606 | 2007-10-18 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942818422 | Lisa M Arey | Specialist/Technologist, Other | 2429 Salem Ct Sw, Marietta, GA 30064-4259 | 2020-07-21 |
| 1457972309 | Shanon Marie Roderick | Specialist/Technologist, Other | 115 Bradford Ct, Savannah, GA 31406-4122 | 2020-05-01 |
| 1659990869 | Katrina A Toler | Specialist/Technologist, Other | Optim Medical Center - Tattnall, 247 S Main Street, Reidsville, GA 30453 | 2020-04-09 |
| 1295360311 | Taryn Shumaker | Specialist/Technologist, Other | 715 Cedar Valley Trce, Lawrenceville, GA 30043-2424 | 2020-03-09 |
| 1003448911 | Kirstin Gabler | Specialist/Technologist, Other | 2119 Wilshire Dr Sw, Marietta, GA 30064-4197 | 2020-02-08 |
| 1982244257 | Chad Seawright | Specialist/Technologist, Other | 1765 Old West Broad St Bldg 2-200, Athens, GA 30606-2887 | 2020-01-14 |
| 1952948945 | Haley Johnson | Specialist/Technologist, Other | 619 Minter Rd, Griffin, GA 30223-5635 | 2019-12-09 |
| 1215579982 | Anfernee Jerome Walker | Specialist/Technologist, Other | 990 Thousand Oaks Dr, Lawrenceville, GA 30043-3123 | 2019-10-14 |
| 1043852197 | James Hoffman | Specialist/Technologist, Other | 1415 Highway 85 N Ste 310-147, Fayetteville, GA 30214-7738 | 2019-10-10 |
| 1851933170 | Andres Eduardo Gomez Vargas | Specialist/Technologist, Other | 965 Dogwood Park Dr, Lawrenceville, GA 30046-9335 | 2019-10-09 |
| Find all providers with the same taxonomy | ||||
| City | SNELLVILLE |
| Zip Code | 30078 |
Please comment or provide details below to improve the information on ANDREA M KENNEDY.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.