John Kennedy (NPI# 1063571537, PAC ID# 9638202310) is a physician enrolled in Centers for Medicare & Medicaid Services (CMS). The primary specialty is CLINICAL SOCIAL WORKER.
| Nation Provider ID (NPI) | 1063571537 |
| PAC ID by PECOS | 9638202310 |
| Professional Enrollment ID | I20100802000402 |
| Full Name | John Kennedy |
| Organization Legal Name | COLUMBIA COUNSELING CENTER COLUMBIA BEHAVIORAL MEDICINE PA |
| Address |
122 Powell Dr Lexington SC 29072-9203 |
| Phone Number | 8037314708 |
| Gender | M |
| Medical School | UNIVERSITY OF SOUTH CAROLINA SCHOOL OF MEDICINE |
| Graduation Year | 1978 |
| Primary Specialty | CLINICAL SOCIAL WORKER |
| Group Practice PAC ID | 4880632496 |
| Number of Group Practice Members | 3 |
| Accepts Medicare Assignment | Y |
| Address | Phone | Organization |
|---|---|---|
| 900 Saint Andrews Rd, Columbia, SC 29210-5816 | 8037314708 | COLUMBIA COUNSELING CENTER COLUMBIA BEHAVIORAL MEDICINE PA |
| 122 Powell Dr, Lexington, SC 29072-9203 | 8037314708 | COLUMBIA COUNSELING CENTER COLUMBIA BEHAVIORAL MEDICINE PA |
| Organization Legal Name | COLUMBIA COUNSELING CENTER COLUMBIA BEHAVIORAL MEDICINE PA |
| Physicians | 3 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Henry M Timms | Clinical Social Worker | Columbia Counseling Center Columbia Behavioral Medicine Pa | 900 Saint Andrews Rd, Columbia, SC 29210-5816 |
| Robert E Hooper | Psychologist, Clinical | Columbia Counseling Center Columbia Behavioral Medicine Pa | 122 Powell Dr, Lexington, SC 29072-9203 |
| Street Address |
122 POWELL DR |
| City | LEXINGTON |
| State | SC |
| Zip | 29072-9203 |
| Name | Specialty | Organization | Address |
|---|---|---|---|
| George Michael Beaver | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Thomas D Bryan | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Jayne A Koehler | Physician Assistant | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Terry Leroy Nagel | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Roger K Griggs | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| David P Lyle | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Kevin Quinlan Shalkham | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Jeremy Ray Crisp | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Sara M Hogg | Nurse Practitioner | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Gregory J Konduros | Family Medicine | Lexington County Health Services District Inc | 122 Powell Dr, Lexington, SC 29072-9203 |
| Find all physicians in the same address | |||
| Name | Specialty | Organization | Address |
|---|---|---|---|
| Isaac E Davis Iii | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Edward Mccray Wise Jr. | Maxillofacial Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Charles M Miyaji | Oral Surgery | Associates In Oral and Maxillofacial Surgery, Pa | 109 Reed Ave, Lexington, SC 29072-2016 |
| Vanessa Epps Byrd | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Kristen M Carlson | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| John S Rodell | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Derranita Essonya Finklin | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Chelsea Hamric | Physical Therapy | Paxxon Healthcare Services LLC | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Catherine Jane Rathbun | Occupational Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Ellen Little | Physical Therapy | The Weston Group of South Carolina Inc | 218 Old Chapin Rd, Lexington, SC 29072-2030 |
| Find all physicians in zip 29072 | |||
| City | LEXINGTON |
| Zip Code | 29072 |
| Specialty | CLINICAL SOCIAL WORKER |
| City + Specialty | LEXINGTON + CLINICAL SOCIAL WORKER |
Please comment or provide details below to improve the information on John 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.