Richard D Kennedy (NPI# 1215029897, PAC ID# 3476545195) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is FAMILY MEDICINE.
| Nation Provider ID (NPI) | 1215029897 |
| PAC ID by PECOS | 3476545195 |
| Professional Enrollment ID | I20040401001272 |
| Full Name | Richard D Kennedy |
| Organization Legal Name | MID-TENNESSEE FAMILY HEALTH CENTER |
| Address |
110 Weakley Creek Rd Lawrenceburg TN 38464-2238 |
| Phone Number | 9317665001 |
| Gender | M |
| Credential | MD |
| Medical School | MEHARRY MEDICAL COLLEGE SCHOOL OF MEDICINE |
| Graduation Year | 1998 |
| Primary Specialty | FAMILY MEDICINE |
| Group Practice PAC ID | 0345467643 |
| Number of Group Practice Members | 4 |
| Accepts Medicare Assignment | Y |
| Claim Control Number (CCN) | Legal Business Name |
|---|---|
| 440073 | MAURY REGIONAL HOSPITAL |
| 440175 | SOUTHERN TENNESSEE REGIONAL HEALTH SYSTEM LAWRENCE |
| 441300 | SAINT THOMAS HICKMAN HOSPITAL |
| 440029 | WILLIAMSON MEDICAL CENTER |
| 441309 | MARSHALL MEDICAL CENTER |
| Address | Phone | Organization |
|---|---|---|
| 1040 N James Campbell Blvd, Suite 101, Columbia, TN 38401 | 9313888802 | ADVANCED DIAGNOSTIC IMAGING PC |
| 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 | 9317665001 | MID-TENNESSEE FAMILY HEALTH CENTER |
| Organization Legal Name | MID-TENNESSEE FAMILY HEALTH CENTER |
| Physicians | 4 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shonda Danielle Morris | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Kellie D Coffey | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Wanda Moore | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Street Address |
110 WEAKLEY CREEK RD |
| City | LAWRENCEBURG |
| State | TN |
| Zip | 38464-2238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Shonda Danielle Morris | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Kellie D Coffey | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Wanda Moore | Nurse Practitioner | Mid-tennessee Family Health Center | 110 Weakley Creek Rd, Lawrenceburg, TN 38464-2238 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Kenneth L Will | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Jason Arden Mccawley | Certified Registered Nurse Anesthetist (crna) | Medstream Anesthesia Pllc | 1607s Locust Ave Hwy 43, Lawrenceburg, TN 38464 |
| Racheal M Kightlinger | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Haley Beecham Phillips | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Leslie N Bedford | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Christopher Chase Davis | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Jennifer C Bowling | Nurse Practitioner | Amg-crockett, LLC | 2019 N Locust Ave, Lawrenceburg, TN 38464-2337 |
| Jason Fort | Optometry | 307 Geri St, Lawrenceburg, TN 38464-2361 | |
| Larry A Loyd | Optometry | 307 Geri St, Lawrenceburg, TN 38464-2361 | |
| Raja A Atiyah | Otolaryngology | Raja A. Atiyah, Md PC | 1626 Business Ave, Lawrenceburg, TN 38464-2398 |
| Find all physicians in zip 38464 | |||
| City | LAWRENCEBURG |
| Zip Code | 38464 |
| Specialty | FAMILY MEDICINE |
| City + Specialty | LAWRENCEBURG + FAMILY MEDICINE |
Please comment or provide details below to improve the information on Richard D Kennedy.
| Data Provider | Centers for Medicare & Medicaid Services (CMS) |
| Jurisdiction | Medicare |
This dataset includes 1.12 million groups, individual physicians, and other clinicians currently enrolled in Medicare. Each physician is registered with NPI, PAC ID, full name, specialty, phone, organization, hospital, address, medical school, etc.