JOHN SARGENT KENNEDY (NPI# 1275526386) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275526386 |
| Entity Type | Individual |
| Full Name | JOHN SARGENT KENNEDY |
| Credential | M.D. |
| Practice Address |
2665 N Decatur Rd Suite 730 Decatur GA 30033-6149 |
| Practice Telephone | 4045084320 |
| Practice Fax Number | 4045084112 |
| Mailing Telephone | 4045084320 |
| Mailing Fax Number | 4045084112 |
| Enumeration Date | 2005-08-24 |
| Last Update Date | 2007-07-08 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 174400000X | Specialist | 25193 | GA | Other Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GA | 00280167C | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538722939 | John Kennedy | Counselor | 1491 Main St Ste 401, Willimantic, CT 06226-1914 | 2019-04-22 |
| 1487056727 | John Kennedy | Registered Nurse | 21 Fordham St, Williston Park, NY 11596-1822 | 2014-09-18 |
| 1932480894 | John Thomas Kennedy | Counselor | 476 Skiff Mountain Rd, Kent, CT 06757-1112 | 2011-09-06 |
| 1962736835 | John Lowry Kennedy | Pharmacist | 1716 E Broad St, Statesville, NC 28625-4306 | 2009-09-25 |
| 1699948182 | John Francis Kennedy | Occupational Therapist | 11088 Brandywine Lake Way, Boynton Beach, FL 33473-4888 | 2008-04-07 |
| 1508069048 | John R Kennedy | Dentist | 3515 Mansfield Hwy, Fort Worth, TX 76119-6718 | 2007-06-11 |
| 1982807590 | John Halisey Kennedy | Physical Medicine & Rehabilitation | 4040 Sw 53rd Pl, Portland, OR 97221-2015 | 2007-06-09 |
| 1730395005 | John Patrick Kennedy | Chiropractor | 1280 W Peachtree St Nw, Suite 130, Atlanta, GA 30309-3445 | 2007-05-15 |
| 1841321478 | John A Kennedy | Technician/Technologist | 150 El Camino Real, Suite 101, Tustin, CA 92780-3668 | 2007-03-07 |
| 1629113725 | John Kennedy | Chiropractor | 1951 Hoover Ct, Suite 101, Hoover, AL 35226-3606 | 2007-02-20 |
| Street Address |
2665 N DECATUR RD SUITE 730 |
| City | DECATUR |
| State | GA |
| Zip Code | 30033-6149 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265430797 | David Alan Miller | Internal Medicine | 2665 N Decatur Rd, Ste 430, Decatur, GA 30033-6149 | 2005-07-08 |
| 1871034934 | Tejal Dinesh Mehta | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2017-03-09 |
| 1235586728 | Dana Chason | Nurse Practitioner | 2665 N Decatur Rd, #230, Decatur, GA 30033-6149 | 2016-05-16 |
| 1700214590 | Lauren Paulus Stewart | Physician Assistant | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2013-10-15 |
| 1184069973 | Aakashi D Patel | Physician Assistant | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2013-05-07 |
| 1649537416 | Dekalb Neurology Group, LLC | Psychiatry & Neurology | 2665 N Decatur Rd, Suite 540, Decatur, GA 30033-6149 | 2012-04-18 |
| 1932478849 | Medical Oncology Consultants of Atlanta | Specialist | 2665 N Decatur Rd, Suite 150, Decatur, GA 30033-6149 | 2011-12-21 |
| 1619296746 | Alice Azzalin | Internal Medicine | 2665 N Decatur Rd, Suite 520, Decatur, GA 30033-6149 | 2010-05-28 |
| 1740518612 | Paresh P Kamat | Internal Medicine | 2665 N Decatur Rd, Suite 350, Decatur, GA 30033-6149 | 2009-12-03 |
| 1992934111 | Dimple Lilian Kripalani | Nurse Practitioner | 2665 N Decatur Rd, Suite 430, Decatur, GA 30033-6149 | 2009-07-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922613785 | Healing Minds, Helping Hearts, LLC | Social Worker | 2532 N Decatur Rd, Apt 1304, Decatur, GA 30033 | 2020-09-09 |
| 1700412517 | Delana Finney | Orthotist | Vamc - Atlanta, 1670 Clairmont Rd, Decatur, GA 30033 | 2020-03-13 |
| 1194389353 | Katherine Serafen | Physician Assistant | 2701 N Decatur Road, Ground Floor Suite 520, Decatur, GA 30033 | 2019-04-23 |
| 1194290973 | Suzanne Johnson | Psychologist | Atlanta Va Health Care System, 1670 Clairmont Rd, Decatur, GA 30033 | 2018-10-09 |
| 1245705334 | Mcleod Counseling Services, LLC | Clinic/Center | 2801 N. Decatur Rd, Suite 185, Decatur, GA 30033 | 2018-10-04 |
| 1225514797 | Erkin Mirkhatovich Turganov | Pharmacist | 2951 Cedar Brook Dr, Decatur, GA 30033 | 2018-07-17 |
| 1356834972 | Sharlencia Lord | Nurse Practitioner | 2738 N Decatur Rd # 292-3173, Decatur, GA 30033 | 2018-06-08 |
| 1194213140 | Zacarias Yanis Jr. | Clinical Neuropsychologist | 1276 Mcconnell Drive Ste C., Decatur, GA 30033 | 2018-04-25 |
| 1780181370 | Ryan Patton | Orthopaedic Surgery | 2723 Hollywood Dr, Decatur, GA 30033 | 2018-04-10 |
| 1437669751 | Sholanda D Hooper | Nurse Practitioner | 1601 Clairmont Rd, Decatur, GA 30033 | 2017-10-02 |
| Find all providers in zip 30033 | ||||
| Taxonomy Code | 174400000X |
| Grouping | Other Service Providers |
| Classification | Specialist |
| An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
| Notes: Source: Expanded from Webster’s II New Riverside University Dictionary, Boston: Riverside Publishing Company, 1974. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225658511 | Louis P Towles IIi | Specialist | 755 Commerce Dr Ste 600, Decatur, GA 30030-2619 | 2020-04-16 |
| 1679007835 | Sara Gibson | Specialist | 3260 Wakefield Dr, Decatur, GA 30034-4554 | 2017-04-14 |
| 1033660345 | Sabra Services LLC | Specialist | 726 County Road 3250, Decatur, TX 76234-4857 | 2016-10-21 |
| 1154874758 | Erica Nicole West | Specialist | 3446 Newberry Trl, Decatur, GA 30034-3248 | 2016-07-31 |
| 1639552649 | Supreme Healthcare Ob/gyn LLC | Specialist | 5536 Flat Shoals Pkwy, Suite A, Decatur, GA 30034-5408 | 2015-07-08 |
| 1427474766 | Russell Clinding | Specialist | 5036 Snapfinger Woods Dr Ste 217, Decatur, GA 30035-4047 | 2014-03-11 |
| 1598013831 | Total Health Pain Center | Specialist | 4150 Snapfinger Way, Suite 102, Decatur, GA 30035-2711 | 2012-08-16 |
| 1841420510 | Deborah Tawil | Specialist | 118 Barry St, Decatur, GA 30030-3465 | 2009-07-16 |
| 1396973665 | Wanda Denise Nelson | Specialist | 3275 Creekway Ln, Decatur, GA 30034-4909 | 2009-06-25 |
| 1053588731 | David Douglas Shepard | Specialist | 2675 N Decatur Rd Ste 200, Decatur, GA 30033-6132 | 2008-05-13 |
| Find all providers in DECATUR | ||||
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| 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.